SEC Form 4 · accession 0001094891-17-000050
Long Blockchain Corp. · LBCC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Julian Davidson
Officer — Executive Chairman · Director
Period of report
Jan 30, 2017
Accepted (ET)
Jan 31, 2017 · 4:36 pm EST
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 Stock | Jan 30, 2017 | A | 9,268 | $4.10 | A | 78,570 | D | |
| Common Stock | Jan 30, 2017 | A | 20,000 | $0.00 | A | 98,570 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Purchase)F1 | $4.09 | Jan 30, 2017 | A | 71,686 | A | — | Jul 28, 2021 | Common Stock | 71,686 | 71,686 | D |
Explanation of responses
- F1The option vests in three equal annual installments on the date of grant, July 28, 2017 and July 28, 2018.