SEC Form 4 · accession 0001065949-16-000443
CLOUDCOMMERCE, INC. · CLWD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Zachary M Bartlett
Officer — Vice President of Operations · Director · 10% Owner
Period of report
Jun 22, 2016
Accepted (ET)
Jun 28, 2016 · 4:56 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000743758
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jun 22, 2016 | J | 8,604,651 | — | A | 32,523,303 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF1 | — | Jun 22, 2016 | J | 8,604,651 | D | Sep 5, 2011 | Jul 8, 2016 | Common Stock | 10,000,000 | 0 | D |
Explanation of responses
- F1Common Stock was issued to Reporting Person upon the exercise of Warrants pursuant to a cashless exercise.