SEC Form 3 · accession 0001144204-15-073341

Microphase Corp

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Chief Executive Officer · Director

Period of report

Apr 27, 2015

Accepted (ET)

Dec 30, 2015 · 3:05 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001574969

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock, no par value per share	holding	—	—		—	1,568	D
Common Stock, no par value per share^F1	holding	—	—		—	1,833,702	I	See Footnote

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Preferred Stock, $100 par value per share^F3,F2	—	holding	—	—	—	—	—	Common Stock, no par value per share	190,000	—	I
Preferred Stock, $100 par value per share^F4,F2	—	holding	—	—	—	—	—	Common Stock, no par value per share	791,734	—	I

F11,833,702 shares of Common Stock are owned by Microphase Holding Company LLC, a limited liability company in which the Reporting Person owns 50% of the outstanding membership interests.
F2The shares of Preferred Stock are convertible into common shares at any time at the option of the holders the preferred shares, on notice to the Company. The conversion price is $1.50 per share, until such time as the Company obtains a stock symbol and becomes publicly traded, at which time the conversion price will be the amount will be the closing price on the trading day prior to the date of such notice.
F3Such 2,850 shares of Preferred Stock are owned by the Ergul Family Limited Partnership, a limited partnership in which the Reporting Person is a 23.92% limited partner.
F4Such 11,876 shares of Preferred Stock are owned by Microphase Holding Company LLC, a limited liability company in which the Reporting Person owns 50% of the outstanding membership interests.