SEC Form 4 · accession 0001415889-17-001321
Youngevity International, Inc. · YGYI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Paul Sallwasser
Director
Period of report
Jul 28, 2017
Accepted (ET)
Aug 3, 2017 · 4:02 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001569329
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 8% Series C Senior Secured Convertible Promissory NoteF1 | $7.00 | Jul 28, 2017 | D | 5,357 | D | Oct 12, 2015 | Oct 12, 2018 | Common Stock | 5,357 | 0 | D |
| Senior Secured Convertible Promissory NotesF1 | $4.60 | Jul 28, 2017 | A | 8,177 | A | Jul 28, 2017 | Jul 28, 2020 | Common Stock | 8,177 | 8,177 | D |
| Series D WarrantsF1 | $5.56 | Jul 28, 2017 | A | 4,089 | A | Jul 28, 2017 | Jul 28, 2020 | Common Stock | 4,089 | 4,089 | D |
| Series A WarrantF2 | $9.00 | Jul 28, 2017 | D | 2,500 | D | Oct 13, 2015 | Oct 13, 2020 | Common Stock | 2,500 | 0 | D |
| Series D WarrantsF2 | $5.56 | Jul 28, 2017 | A | 6,522 | A | Jul 28, 2017 | Jul 28, 2020 | Common Stock | 6,522 | 6,522 | D |
Explanation of responses
- F1On July 28, 2017, as part of a series of transactions by Youngevity International, Inc. (the "Company"), the reporting person converted 5,357 of his 8% Series C Senior Secured Convertible Promissory Notes in the aggregate amount of $37,615.07 (which included principal of $37,500 and $615.07 of accrued and unpaid interest) into (i) 8,177 new convertible promissory notes and (ii) Series D Warrants to purchase an aggregate 4,089 shares of the Company's common stock (the "Common Stock").
- F2On July 28, 2017, the reporting person also exchanged his Series A Warrants dated October 2015 for Series D Warrants to purchase an aggregate of 6,522 shares of Common Stock.