SEC Form 5 · accession 0001415889-16-006595
ReposiTrak, Inc. · TRAK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert W Allen
Director
Period of report
Jun 30, 2016
Accepted (ET)
Jul 22, 2016 · 4:30 pm EDT
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 | Sep 30, 2015 | A | 237 | $10.57 | A | 576,789 | D | |
| Common StockF1 | Dec 31, 2015 | A | 210 | $11.91 | A | 576,789 | D | |
| Common StockF1 | Mar 31, 2016 | A | 276 | $9.07 | A | 576,789 | D | |
| Common StockF1 | Jun 30, 2016 | A | 279 | $8.97 | A | 576,789 | D | |
| Common Stock | holding | — | — | — | 118,933 | I | Trust (By Spouse) | |
| Series B Preferred Stock | holding | — | — | — | 79,493 | D | ||
| Series B-1 Preferred StockF2 | holding | — | — | — | 13,398 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant | $3.60 | holding | — | — | — | Mar 14, 2013 | Mar 14, 2018 | Common Stock | 45,833 | 45,833 | D |
| Warrant | $6.45 | holding | — | — | — | Aug 28, 2013 | Aug 28, 2018 | Common Stock | 25,581 | 25,581 | D |
| Warrants | $4.00 | holding | — | — | — | Feb 5, 2015 | Feb 5, 2020 | Common Stock | 130,753 | 130,753 | D |
Explanation of responses
- F1Shares issued in lieu of amounts payable to the Reporting Person for his service on the Issuer's Board of Directors.
- F2Amount includes shares of Series B-1 Preferred issued to the Reporting Person during the year ended June 30, 2016 as payment-in-kind of accrued dividends.