SEC Form 3 · accession 0001437749-18-008158
Tapinator, Inc. · TAPM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Andrew Merkatz
Officer — President and CFO · Director
Period of report
Apr 30, 2018
Accepted (ET)
Apr 30, 2018 · 4:47 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001647170
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 2,449,375 | D | ||
| Common StockF1 | holding | — | — | — | 2,551,625 | I | Children's Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to Purchase Common StockF2 | $0.11 | holding | — | — | — | — | May 11, 2027 | Common Stock | 1,500,000 | — | D |
| Restricted Stock UnitF3 | $0.00 | holding | — | — | — | — | — | Common Stock | 5,000,000 | — | D |
Explanation of responses
- F1Comprised of (i) 1,278,000 shares of common stock held by Lucienne Merkatz 2013 Trust, a trust for the benefit of one of Mr. Merkatz' s children and (ii) 1,273,625 shares of common stock held by Sebastian Merkatz 2013 Trust, a trust for the benefit of one of Mr. Merkatz' s children. The Reporting Person is a neither the trustee nor the beneficiary of either trust and disclaims beneficial ownership of these shares. The inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
- F2This grant began vesting on June 30, 2017 and shall continue to become exercisable ratably in quarterly installments over the next three years thereafter at an exercise price of $0.11. The Reporting Person must continue to be an employee of the Issuer as of each vesting date.
- F3This grant will begin vesting on August 21, 2019 and will vest ratably in monthly installments over the next eighteen months thereafter. The Reporting Person must continue to be an employee of the Issuer as of each vesting date.
Remarks
The Reporting Person has elected to begin making Section 16 filings as of the date hereof and in connection with the filing of a registration statement on Form S-1 by the Issuer as of the date hereof.