SEC Form 4 · accession 0001493152-17-010498
DSS, INC. · DSS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Heng Fai Ambrose Chan
Director
Period of report
Sep 8, 2017
Accepted (ET)
Sep 12, 2017 · 5:00 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000771999
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 8, 2017 | P | 800,000 | $0.75 | A | 1,100,000 | I | See Footnote |
| Common Stock | holding | — | — | — | 2,611 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF3,F2 | $1.00 | Sep 8, 2017 | P | 160,000 | A | Sep 8, 2017 | Sep 8, 2022 | Common Stock | 160,000 | 160,000 | I |
| WarrantsF2 | $1.00 | holding | — | — | — | Dec 29, 2016 | Dec 29, 2019 | Common Stock | 200,000 | 200,000 | I |
Explanation of responses
- F1The Reporting Person is a director of BMI Capital Partners International Ltd. ("BMI Capital"), which owns 300,000 shares of the Issuer's common stock purchased on 12/29/16. The Reporting Person is also the CEO and majority shareholder of Heng Fai Holdings Limited ("HF Holdings"), which owns the 800,000 shares of Issuer's common stock purchased on 9/8/17. Reporting Person has dispositive control over all of these shares.
- F2BMI capital owns the previously issued warrants to purchase 200,000 shares of the Issuer's common stock. HF Holdings owns the warrants to purchase 160,000 shares of Issuer's common stock. Reporting Person has dispositive control over all of these warrants.
- F3The price of the warrants is included in the price of the shares reported in Table I.