SEC Form 4 · accession 0001632909-18-000002
Mentor Capital, Inc. · MNTR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Chester Billingsley
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Mar 21, 2018
Accepted (ET)
Mar 22, 2018 · 8:13 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001599117
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 3,779,886 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series B WarrantsF1 | $0.11 | Mar 21, 2018 | A | 87,456 | A | Apr 11, 2000 | May 11, 2038 | Common Stock | 87,456 | 87,456 | D |
| Series D Warrants | $1.60 | Mar 21, 2018 | D | 87,456 | D | Apr 11, 2000 | May 11, 2038 | Common Stock | 87,456 | 2,050,228 | D |
Explanation of responses
- F1The actions reported in this ownership form are intended to reverse the 2014 transaction by which reporting person allowed two persons to act in his stead as designees and exercise 87,456 Series B warrants under a Company agreement which has since been rescinded. In exchange for allowing those two persons to exercise his lower-priced Series B warrants, reporting person was named as a designee of 87,456 of the higher priced Series D warrants. As the transaction with the two persons was rescinded, the exercised shares were returned to the Company, cancelled, and the warrants from which the shares arose were reinstated.