SEC Form 4 · accession 0001140361-16-070494
OMNIQ Corp. · OMQS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gilles Gaudreault
Officer — Chief Executive Officer · Director
Period of report
Jun 17, 2016
Accepted (ET)
Jun 21, 2016 · 6:11 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 StockF3,F2,F1,F4 | — | Jun 17, 2016 | J | 1,000,000 | A | Jun 17, 2016 | — | Common Stock | 1,000,000 | 1,000,000 | I |
Explanation of responses
- F1Each share of Series C Preferred Stock is convertible into one share of Common Stock.
- F2$1,000,000 of debt owed by the Issuer to Viascan Group Inc. under a promissory note was converted into 1,000,000 shares of Series C Preferred Stock issued to Viascan Group Inc.
- F3The amount of securities reported as beneficially owned reflects Series C Preferred Stock acquired by Viascan Group Inc. The Reporting Person hereby disclaims ownership of these securities in excess of his pecuniary interest.
- F4The Series C Preferred Stock has no expiration date.