SEC Form 4/A · accession 0001144204-18-020657
SCWorx Corp. · WORX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Joel Daniel Tracy
Director
Period of report
Aug 29, 2017
Accepted (ET)
Apr 16, 2018 · 2:24 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001674227
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock par value $0.001F1 | Aug 29, 2017 | P | 45,872 | $50,000.00 | A | 334,860 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant to Purchase Common StockF2 | $1.50 | Aug 29, 2017 | P | 45,872 | A | Mar 1, 2018 | Aug 28, 2020 | Common Stock, par value $0.001 | 45,872 | 45,872 | D |
| Warrant to Purchase Common StockF3 | $1.50 | holding | — | — | — | Mar 1, 2018 | Aug 28, 2020 | Common Stock, par value $0.001 | 25,000 | 70,872 | I |
| Warrant to Purchase Common StockF3 | $1.75 | holding | — | — | — | Mar 1, 2018 | Aug 28, 2020 | Common Stock, par value $0.001 | 100,000 | 170,872 | I |
Explanation of responses
- F1In addition to the 184,860 shares of common stock held directly, also includes 150,000 shares held by relations of Mr. Tracy. Mr. Tracy has voting and disposition power over the shares.
- F2Fully vested warrants were issued in a prior reported purchase on the Form 4 filed on January 26, 2018. The warrants were issued at a rate of one warrant per one share of common stock at a unitprice of $1.09 per unit.
- F3In addition to the 45,872 warrants held directly, also includes 125,000 warrants held be relations to Mr. Tracy. Mr. Tracy has voting and disposition power over the warrants.
Remarks
The original Form 4, filed on January 26, 2018, is being amended by this Form 4 amendment to correct an administrative error, which misrepresented a purchase that occured on October 20, 2017,as a total of 45,872 shares of common stock, when in fact an equal number of warrants to purchase common stock were also included in that purchase, and the correct purchase date was August 29,2017. As a result of this administrative error, the number of derivative securites beneficially owned by the reporting person is 45,872.