SEC Form 4 · accession 0001094891-17-000102
Long Blockchain Corp. · LBCC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
E J Watson
10% Owner
Period of report
Mar 29, 2017
Accepted (ET)
Mar 31, 2017 · 11:26 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001629261
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantF1,F2 | $4.18 | Mar 29, 2017 | P | 165,000 | A | Mar 29, 2017 | Mar 28, 2018 | Common Stock | 165,000 | 165,000 | I |
Explanation of responses
- F1The warrant was issued to the reporting person in consideration of the reporting person's commitment to provide funding to the issuer under certain circumstances.
- F2These securities are held by Cullen Inc. Holdings Ltd., an entity controlled by the reporting person. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report should not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.