SEC Form 4 · accession 0001493152-19-001086
Muscle Maker, Inc. · MMB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul L Menchik
Director
Period of report
Jan 7, 2019
Accepted (ET)
Jan 29, 2019 · 3:16 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001701756
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 76,557 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 15% Senior Secured Convertible Promissory NotesF1 | $1.00 | Jan 7, 2019 | A | — | A | Jan 7, 2019 | — | Common Stock | 50,000 | 50,000 | D |
| Common Stock Purchase Warrants | $1.20 | Jan 7, 2019 | A | 25,000 | A | Jan 7, 2019 | Jan 7, 2024 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1The Notes bear interest at 15% per annum paid quarterly and mature 18 months from issuance. The holder may elect to convert all or part of the Notes, plus accrued interest, at any time into shares of common stock of the Company at a conversion price of $1.00.