SEC Form 4 · accession 0001553350-16-002404
Bright Mountain Media, Inc. · BMTM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Andrew Handwerker
10% Owner
Period of report
Aug 18, 2016
Accepted (ET)
Aug 22, 2016 · 4:38 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001568385
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 18, 2016 | A | 201,200 | — | A | 5,682,283 | D | |
| Common StockF2 | Aug 18, 2016 | A | 901,319 | — | A | 6,583,602 | D | |
| Common StockF3 | Aug 18, 2016 | A | 106,037 | — | A | 6,689,639 | D | |
| Common StockF4 | Aug 18, 2016 | A | 1,060,375 | — | A | 7,750,014 | D | |
| Common StockF5 | Aug 18, 2016 | A | 530,187 | — | A | 8,280,201 | D | |
| Common StockF6 | Aug 18, 2016 | A | 530,187 | — | A | 8,810,388 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| $1 principal amount 12% convertible promissory noteF1 | — | Aug 18, 2016 | C | 100,000 | D | Dec 28, 2015 | Dec 28, 2020 | Common Stock | 200,000 | 0 | D |
| 10% Series A convertible preferred stockF2,F7 | — | Aug 18, 2016 | C | 850,000 | D | Nov 22, 2013 | — | Common Stock | 850,000 | 0 | D |
| 10% Series A convertible preferred stockF3,F7 | — | Aug 18, 2016 | C | 100,000 | D | Jun 30, 2015 | — | Common Stock | 100,000 | 0 | D |
| 10% Series B convertible preferred stockF4,F7 | — | Aug 18, 2016 | C | 1,000,000 | D | Dec 27, 2013 | — | Common Stock | 1,000,000 | 0 | D |
| 10% Series C convertible preferred stockF5,F7 | — | Aug 18, 2016 | C | 500,000 | D | Sep 24, 2014 | — | Common Stock | 500,000 | 0 | D |
| 10% Series D convertible preferred stockF6,F7 | — | Aug 18, 2016 | C | 500,000 | D | Mar 25, 2015 | — | Common Stock | 500,000 | 0 | D |
Explanation of responses
- F1Shares issued pursuant to the conversion $100,000 of principal and accrued but unpaid interest due the Reporting Person under the terms of a 12% convertible promissory note dated December 28, 2015 at a conversion price of $0.50 per share.
- F2Shares issued pursuant to the conversion of 850,000 shares of 10% Series A convertible preferred stock, including accrued dividends at a conversion price of $1.00 per share.
- F3Shares issued pursuant to the conversion of 100,000 shares of 10% Series A convertible preferred stock, including accrued dividends at a conversion price of $1.00 per share.
- F4Shares issued pursuant to the conversion of 1,000,000 shares of 10% Series B convertible preferred stock, including accrued dividends at a conversion price of $1.00 per share.
- F5Shares issued pursuant to the conversion of 500,000 shares of 10% Series C convertible preferred stock, including accrued dividends at a conversion price of $1.00 per share.
- F6Shares issued pursuant to the conversion of 500,000 shares of 10% Series D convertible preferred stock, including accrued dividends at a conversion price of $1.00 per share.
- F7None.