SEC Form 4 · accession 0001520138-17-000331
GREY CLOAK TECH INC. · GRCK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William C Bossung
Officer — CFO and Secretary · Director · 10% Owner
Period of report
Oct 17, 2017
Accepted (ET)
Oct 23, 2017 · 5:17 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001630176
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertible Preferred StockF1,F2 | $0.00 | Oct 17, 2017 | A | 146,330 | A | Oct 17, 2017 | — | Common Stock | 23,168,373 | 146,330 | D |
Explanation of responses
- F1Each share of the Series A Convertible Preferred Stock is convertible into the number of shares equal to 0.00006% of the Company's outstanding common stock immediately after conversion. As of October 20, 2017, the reporting person's Series A Convertible Preferred Stock was convertible into 23,168,373 shares of common stock.
- F2Security does not expire.