SEC Form 4 · accession 0001493152-18-003287
OMNIQ Corp. · OMQS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Shai Shalom Lustgarten
Officer — Chief Executive Officer · Director
Period of report
Mar 8, 2018
Accepted (ET)
Mar 13, 2018 · 4:30 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000278165
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 8, 2018 | A | 1,000,000 | $0.00 | A | 1,640,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $0.12 | Mar 8, 2018 | A | 2,000,000 | A | Mar 8, 2018 | Mar 5, 2023 | Common Stock | 2,000,000 | 2,000,000 | D |
Explanation of responses
- F1On March 08, 2018 and pursuant to Quest Solution, Inc.'s (the "Company") 2018 Equity Incentive Plan, Shai Lustgarten received 1,000,000 shares of the Company's common stock (the "Shares"), par value $0.001. The Shares are valued at $0.12 per share.
- F2On March 08, 2018 and pursuant to Quest Solution, Inc.'s (the "Company") 2018 Equity Incentive Plan, Shai Lustgarten received options to purchase up to 2,000,000 Shares (the "Options"), par value $0.001, at an exercise price of $0.12. The exercise price of the Options was based on the closing price of the Company's common stock on the day prior to the grant. The Options are exercisable as follows: Options to purchase 1,000,000 Shares are immediately vested on March 08, 2018 at an exercise price of $0.12 per share; and Options to purchase 1,000,000 Shares shall vest on September 08, 2018 at an exercise price of $0.12 per share.