SEC Form 4 · accession 0001493152-15-006273
Synergy CHC Corp. · SNYR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James Paul SoRelle
Director
Period of report
Dec 14, 2015
Accepted (ET)
Dec 16, 2015 · 4:30 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001562733
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 1,296,658 | I | SoRelle Family Partnership LLP |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option Grant (Right to Buy)F1 | $0.25 | Dec 14, 2015 | A | 1,000,000 | A | — | Dec 14, 2025 | Common Stock | 1,000,000 | 1,000,000 | D |
Explanation of responses
- F1The options will vest as to one-third of the shares covered by the options on December 31, 2015, one-third of the shares covered by the options on December 31, 2016, and one-third of the shares covered by the options on December 31, 2017, provided that the reporting person provides Continuous Service (as defined in the Stock Option Award Agreement) to the Issuer as of each such vesting date.