SEC Form 4 · accession 0001493152-19-002324
DSS, INC. · DSS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Heng Fai Ambrose Chan
Director · 10% Owner
Period of report
Feb 18, 2019
Accepted (ET)
Feb 20, 2019 · 6:22 pm EST
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 | holding | — | — | — | 1,786,531 | I | See Footnote | |
| Common StockF2 | holding | — | — | — | 500,000 | I | See Footnote | |
| Common StockF3 | holding | — | — | — | 683,000 | I | See Footnote | |
| Common Stock | holding | — | — | — | 2,912 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible Promissory NoteF4 | $1.12 | Feb 18, 2019 | P | 446,428 | A | Feb 18, 2019 | Feb 18, 2020 | Common | 446,428 | 446,428 | I |
Explanation of responses
- F1Held by Heng Fai Holdings Limited of which Reporting Person is the owner. The Reporting Person has dispositive control over these securities.
- F2Held by BMI Capital Partners International Limited of which the Reporting Person is an owner and director. The Reporting Person has dispositive control over these securities.
- F3Held by Hengfai Business Development Pte Ltd of which Reporting Person is the Chief Executive Officer and Owner. The Reporting Person has dispositive control over these securities.
- F4This Convertible Promissory Note in the amount of $500,000, convertible into 446,428 shares of Common Stock, is held by LiquidValue Development Pte Ltd of which Reporting Person is the owner and a director. The Reporting Person has dispositive control over these securities.