SEC Form 4 · accession 0001415889-15-000326
ReposiTrak, Inc. · TRAK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Randall K Fields
Officer — CHIEF EXECUTIVE OFFICER · Director · 10% Owner
Period of report
Jan 26, 2015
Accepted (ET)
Jan 28, 2015 · 6:55 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000050471
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 26, 2015 | A | 12,711 | $9.44 | A | 3,839,841 | D | |
| Common Stock | holding | — | — | — | 651,152 | I | By Riverview Financial Corp. | |
| Common Stock | holding | — | — | — | 30,667 | I | By Spouse | |
| Common Stock | holding | — | — | — | 380,448 | I | By Fields Management |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant | $10.00 | Jan 26, 2015 | A | 3,178 | A | Jan 26, 2015 | Jan 26, 2020 | Common Stock | 3,178 | 3,178 | D |
Explanation of responses
- F1Total amount of securities beneficially owned reflects certain charitable transactions that will be reported by the Reporting Person on a Form 5 within 45 days after the Issuer's fiscal year end.