SEC Form 4 · accession 0001140361-16-070492
OMNIQ Corp. · OMQS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tom Miller
Officer — Chairman and President · Director
Period of report
Jun 17, 2016
Accepted (ET)
Jun 21, 2016 · 6:08 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000278165
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 C Preferred StockF2,F1,F3 | — | Jun 17, 2016 | J | 200,000 | A | Jun 17, 2016 | — | Common Stock | 200,000 | 200,000 | D |
Explanation of responses
- F1Each share of Series C Preferred Stock is convertible into one share of Common Stock.
- F2$200,000 of debt owed by the Issuer to the Reporting Person under a promissory note was converted into 200,000 shares of Series C Preferred Stock issued to the Reporting Person.
- F3The Series C Preferred Stock has no expiration date.