SEC Form 4 · accession 0001213900-18-005682

MyDx, Inc. · MYDX

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

Reporting owner

Officer — Chairman of the Board and CEO · Director · 10% Owner

Period of report

Jun 30, 2017

Accepted (ET)

May 8, 2018 · 3:47 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001582341

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1,F2	May 7, 2018	J	1,750,000,000	—	A	1,789,351,606	I	See Footnote

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Preferred Stock (Series B Convertible)^F3	$0.0001	Jun 30, 2017	J	100,000	D	Dec 23, 2016	—	Common Stock	1,000,000,000	200,000	I
Preferred Stock (Series B Convertible)^F1	$0.0001	May 7, 2018	C	175,000	D	Dec 23, 2016	—	Common Stock	1,750,000,000	25,000	I

F1On May 7, 2018, Mr. Yazbeck converted 175,000 shares of Series B Convertible Preferred Stock into shares of Common Stock via a cashless conversion of the stated value of $1.00 per Series B share divided by a conversion price of $0.0001 per share for an issuance of 1,750,000,000 shares of Common Stock.
F2Beneficial ownership of Daniel R. Yazbeck, directly and indirectly, as of the date of the filing of this Form 4 consists of 10,000 shares held directly by Mr. Yazbeck, 9,132,500 shares held by seven trusts for which Mr. Yazbeck serves as trustee, and 1,780,000,000 shares held by Mr. Yazbeck and YCIG, Inc. (an entity over whose securities Mr. Yazbeck has sole voting and sole investment control).
F3On June 30, 2017, Mr. Yazbeck sold 100,000 shares of Series B Preferred for gross proceeds of $50,000.