SEC Form 4 · accession 0001094891-15-000274
Long Blockchain Corp. · LBCC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Philip J. Thomas
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Sep 30, 2015
Accepted (ET)
Oct 2, 2015 · 3:01 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001629261
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 30, 2015 | A | 6,250 | — | A | 727,891 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants (Right to Buy)F1 | $6.00 | Sep 30, 2015 | A | 6,250 | A | Sep 30, 2015 | Sep 17, 2018 | Common Stock | 6,250 | 6,250 | D |
Explanation of responses
- F1The reporting purchased 6,250 units from the issuer, each unit consisting of one share of the issuer's common stock and one warrant, at a price of $4.00 per unit. Each warrant entitles the holder to purchase one share of the issuer's common stock at an exercise price of $6.00 per share, subject to adjustment. The units separated immediately upon issuance. The common stock and warrants were issued separately and may be traded separately.