SEC Form 4/A · accession 0001140361-15-036040
AFTERMASTER, INC. · AFTM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | Mar 1, 2011 | P | 13,314 | $0.69 | A | 185,022 | D | |
| Common StockF2 | May 4, 2011 | P | 15,000 | $1.00 | A | 200,022 | D | |
| Common StockF3,F1 | May 4, 2011 | P | 37,257 | $1.39 | A | 237,279 | I | (1) |
| Common StockF2 | Jul 25, 2011 | P | 23,077 | $0.65 | A | 260,356 | D | |
| Common StockF3,F1 | Jul 25, 2011 | P | 37,240 | $0.85 | A | 297,596 | I | (1) |
| Common StockF3,F1 | Oct 13, 2011 | P | 65,344 | $0.67 | A | 362,940 | I | (1) |
| Common StockF2 | Nov 3, 2011 | P | 28,846 | $0.52 | A | 391,786 | D | |
| Common StockF3,F1 | Dec 8, 2011 | P | 25,468 | $0.61 | A | 417,254 | I | (1) |
| Common StockF3,F1 | Dec 8, 2011 | P | 33,562 | $0.55 | A | 450,816 | I | (1) |
| Common StockF2 | Mar 21, 2012 | P | 47,500 | $0.3851 | A | 498,316 | D | |
| Common StockF3,F1 | Jul 3, 2012 | P | 256,595 | $0.44 | A | 754,911 | I | (1) |
| Common StockF3,F1 | Sep 11, 2012 | P | 389,263 | $0.25 | A | 1,144,174 | I | (1) |
| Common StockF3,F1 | Nov 19, 2012 | P | 396,806 | $0.30 | A | 1,540,980 | I | (1) |
| Common StockF2 | Nov 19, 2012 | P | 224,116 | $0.36 | A | 1,765,096 | D | |
| Common StockF2 | Feb 22, 2013 | P | 121,212 | $0.13 | A | 1,886,308 | D | |
| Common StockF3,F1 | Feb 22, 2013 | P | 609,313 | $0.13 | A | 2,495,621 | I | (1) |
| Common StockF3,F1 | May 8, 2013 | P | 761,869 | $0.17 | A | 3,257,490 | I | (1) |
| Common StockF2 | May 8, 2013 | P | 140,845 | $0.11 | A | 3,398,335 | D | |
| Common StockF2 | May 30, 2013 | P | 45,000 | $0.18 | A | 3,443,335 | D | |
| Common StockF2 | Jul 22, 2013 | P | 89,686 | $0.17 | A | 3,533,021 | D | |
| Common StockF3,F1 | Jul 22, 2013 | P | 817,006 | $0.17 | A | 4,350,027 | I | (1) |
| Common StockF2 | Oct 22, 2013 | P | 68,259 | $0.22 | A | 4,418,286 | D | |
| Common StockF3,F1 | Oct 22, 2013 | P | 731,871 | $0.10 | A | 5,150,157 | I | (1) |
| Common StockF3,F1 | Jan 28, 2014 | P | 739,913 | $0.10 | A | 5,890,070 | I | (1) |
| Common StockF2 | Jan 28, 2014 | P | 69,930 | $0.10 | A | 5,960,000 | D | |
| Common StockF2 | Apr 16, 2014 | P | 95,964 | $0.16 | A | 6,055,964 | D | |
| Common StockF3,F1 | Apr 16, 2014 | P | 727,311 | $0.17 | A | 6,783,275 | I | (1) |
| Common StockF3,F1 | May 6, 2014 | P | 83,103 | $0.23 | A | 6,866,378 | I | (1) |
| Common StockF2 | May 6, 2014 | P | 1,755 | $0.21 | A | 6,868,133 | D | |
| Common StockF3,F1 | Jul 18, 2014 | P | 754,180 | $0.24 | A | 7,622,313 | I | (1) |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantF3,F7,F1 | $0.60 | Apr 1, 2011 | P | 30,000 | A | Apr 1, 2011 | Apr 1, 2016 | Common Stock | 30,000 | 7 | I |
| WarrantF3,F7,F1 | $0.60 | May 1, 2011 | P | 30,000 | A | May 1, 2011 | May 1, 2016 | Common Stock | 30,000 | 7 | I |
| WarrantF3,F7,F1 | $0.60 | Jun 1, 2011 | P | 30,000 | A | Jun 1, 2011 | Jun 1, 2016 | Common Stock | 30,000 | 7 | I |
| WarrantF4,F7,F1 | $0.60 | Jun 30, 2011 | P | 50,000 | A | Jun 30, 2011 | Jun 30, 2016 | Common Stock | 50,000 | 7 | I |
| WarrantF4,F7,F1 | $0.60 | Jul 30, 2011 | P | 50,000 | A | Jul 30, 2011 | Jul 30, 2016 | Common Stock | 50,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | Sep 30, 2011 | P | 25,000 | A | Sep 30, 2011 | Sep 30, 2016 | Common Stock | 25,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | Oct 17, 2011 | P | 30,000 | A | Oct 17, 2011 | Oct 17, 2016 | Common Stock | 30,000 | 7 | I |
| Convertible Promissory NoteF7,F1,F6 | $0.40 | Nov 3, 2011 | P | 250,000 | A | May 3, 2012 | — | Common Stock | 625,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | Nov 3, 2011 | P | 60,000 | A | Nov 3, 2011 | Nov 3, 2016 | Common Stock | 60,000 | 7 | I |
| Convertible Promissory NoteF7,F1,F6 | $0.50 | Dec 2, 2011 | P | 250,000 | A | Jun 2, 2012 | — | Common Stock | 500,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | Dec 2, 2011 | P | 112,500 | A | Dec 2, 2011 | Dec 2, 2016 | Common Stock | 112,500 | 7 | I |
| Convertible Promissory NoteF7,F1,F6 | $0.50 | Dec 15, 2011 | P | 100,000 | A | Jun 15, 2012 | — | Common Stock | 200,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | Dec 15, 2011 | P | 50,000 | A | Dec 15, 2011 | Dec 15, 2016 | Common Stock | 50,000 | 7 | I |
| Convertible Promissory NoteF7,F1,F6 | $0.50 | Dec 30, 2011 | P | 300,000 | A | Jun 30, 2012 | — | Common Stock | 600,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | Dec 30, 2011 | P | 150,000 | A | Dec 30, 2011 | Dec 30, 2016 | Common Stock | 150,000 | 7 | I |
| Convertible Promissory NoteF7,F1,F6 | $0.50 | Feb 3, 2012 | P | 100,000 | A | Aug 3, 2012 | — | Common Stock | 200,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | Feb 3, 2012 | P | 25,000 | A | Feb 3, 2012 | Feb 3, 2017 | Common Stock | 25,000 | 7 | I |
| Convertible Promissory NoteF7,F1,F6 | $0.50 | Feb 16, 2012 | P | 100,000 | A | Aug 16, 2012 | — | Common Stock | 200,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | Feb 16, 2012 | P | 25,000 | A | Feb 16, 2012 | Feb 16, 2017 | Common Stock | 25,000 | 7 | I |
| Convertible Promissory NoteF7,F1,F6 | $0.50 | Mar 2, 2012 | P | 150,000 | A | Sep 2, 2012 | — | Common Stock | 300,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | Mar 2, 2012 | P | 37,500 | A | Mar 2, 2012 | Mar 2, 2017 | Common Stock | 37,500 | 7 | I |
| Convertible Promissory NoteF7,F1,F6 | $0.50 | Mar 16, 2012 | P | 200,000 | A | Sep 16, 2012 | — | Common Stock | 400,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | Mar 16, 2012 | P | 50,000 | A | Mar 16, 2012 | Mar 16, 2017 | Common Stock | 50,000 | 7 | I |
| Convertible Promissory NoteF7,F1,F6 | $0.50 | Apr 17, 2012 | P | 200,000 | A | Oct 17, 2012 | — | Common Stock | 400,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | Apr 17, 2012 | P | 50,000 | A | Apr 17, 2012 | Apr 17, 2017 | Common Stock | 50,000 | 7 | I |
| Convertible Promissory NoteF7,F1,F6 | $0.50 | May 3, 2012 | P | 150,000 | A | Nov 3, 2012 | — | Common Stock | 300,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | May 3, 2012 | P | 37,500 | A | May 3, 2012 | May 3, 2017 | Common Stock | 37,500 | 7 | I |
| Convertible Promissory NoteF7,F1,F6 | $0.50 | Jun 5, 2012 | P | 125,000 | A | Dec 5, 2012 | — | Common Stock | 250,000 | 7 | I |
| WarrantF5,F7,F1 | $0.40 | Jun 5, 2012 | P | 31,250 | A | Jun 5, 2012 | Jun 5, 2017 | Common Stock | 31,250 | 7 | I |
| Convertible Promissory NoteF7,F1,F6 | $0.50 | Jun 20, 2012 | P | 125,000 | A | Dec 20, 2012 | — | Common Stock | 250,000 | 7 | I |
Explanation of responses
- F1The beneficial owner is FPJ Investments, LLC ("FPJ"), a single member LLC owned 100% by the reporting person.
- F2Issued in connection with services as a Director.
- F3Issued in lieu of interest.
- F4Issued in connection with the modification of certain of FPJ's rights in connection with a promissory note.
- F5Issued in connection with a loan by FPJ to Issuer which was evidenced by a promissory note.
- F6The promissory notes are exercisable for so long as the notes are outstanding.
- F7See remark.
Remarks
(Form 1 of 3) This amended Form 4 amends and restates the original Forms 4 filed by the reporting person on 3/27/12, 06/05/13, 05/28/15, and 07/22/15. This amendment reports convertible promissory notes of the Issuer that were acquired by an entity owned by the reporting person ("FPJ") which were mistakenly omitted on the original Forms 4. As reflected in this amended and restated Form 4 and the amended and restated Form 3 which was filed on September 28, 2015, as of September 28, 2015, FPJ owned 33 convertible promissory notes aggregating $3,925,000, convertible commencing 6-months after issue into an aggregate of 7,975,000 shares of the Issuer's common stock and 44 warrants exercisable for a 5-year period (which period was subsequently extended for certain of the warrants) to purchase an aggregate of 1,486,250 shares of the Issuer's common stock. The promissory notes are secured by certain assets of the Issuer and mature on the 3rd anniversary after the issue date, which maturity date has been extended from time to time, most recently to September 30, 2015. As of the date hereof, the reporting person has not sold any common stock or other securities of the Issuer.