SEC Form 3 · accession 0001171843-17-005034
AZIO AI HOLDINGS, INC. · AZIO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Edward R. Monfort
Officer — Chief Technology Officer · 10% Owner
Period of report
Jun 9, 2017
Accepted (ET)
Aug 14, 2017 · 2:40 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001563568
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | holding | — | — | — | 4,000,000 | I | By trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F2 | $0.10 | holding | — | — | — | — | Nov 1, 2020 | Common Stock | 12,000,000 | — | D |
| Stock Option (Right to Buy)F3 | $0.10 | holding | — | — | — | — | Jun 1, 2022 | Common Stock | 3,000,000 | — | D |
Explanation of responses
- F1These shares are owned directly by the Monfort Revocable Living Trust, Dated 8/19/16, and indirectly by Edward R. Monfort as trustee of the trust. Edward R. Monfort is an officer and a ten percent owner of the issuer.
- F2The option vests in equal monthly installments of 1/60 of the total number of shares underlying the option beginning on November 1, 2012.
- F3The option vests in equal monthly installments of 1/60 of the total number of shares underlying the option beginning on June 1, 2014.