SEC Form 5 · accession 0001493152-18-001765
Boxlight Corp · BOXL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James Mark Elliott
Officer — Chief Executive Officer · Director
Period of report
Dec 31, 2017
Accepted (ET)
Feb 9, 2018 · 5:28 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001624512
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1,F2 | Nov 30, 2017 | A | 92,510 | — | A | 165,777 | I | The shares are owned by Genesis Collaboration LLC, |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option | $0.13 | Sep 18, 2014 | A | 331,841 | A | Sep 30, 2017 | Sep 18, 2019 | Class A Common Stock | 331,841 | 331,841 | D |
Explanation of responses
- F1Mr. Elliot is one of four members of Genesis Collaboration LLC, each of whom received one percent of fully diluted common stock directly prior to the IPO effective date. The 92,510 shares reflected on this Form 5, represents Mr. Elliott's one percent.
- F2Mr. Elliott is the President and a member of Genesis Collaboration, LLC.