SEC Form 3 · accession 0001012975-15-000383
Solana Co · HSDT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kurt Kaczmarek
10% Owner
Period of report
May 14, 2015
Accepted (ET)
May 14, 2015 · 2:35 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001610853
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common Stock, Without Par ValueF1 | holding | — | — | — | 16,035,026 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F3,F2 | $0.50 | holding | — | — | — | — | Jun 18, 2019 | Class A Common Stock | 400,000 | — | D |
Explanation of responses
- F1Represents shares directly held by Advanced NeuroRehabilitation, LLC ("ANR"). The Reporting Person is the managing member of ANR. The Reporting Person disclaims pecuniary interest in the reported securities except to the extent of his economic interest.
- F2One-third of the shares subject to this option vested on June 19, 2014 and the remaining shares will vest in equal amounts on each of June 19, 2015 and June 19, 2016.
- F3Translated into U.S. dollars from Canadian dollars based on the noon buying rate from the Federal Reserve Bank of USD$1.00 = CAD$1.2086 on May 8, 2015, based on an option exercise price of CAD$0.60.
Remarks
Remarks: Exhibit 24 - Power of Attorney