SEC Form 4/A · accession 0001140361-15-036044
AFTERMASTER, INC. · AFTM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Table I — non-derivative securities
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,F1,F3 | $0.50 | Feb 22, 2013 | P | 50,000 | A | Aug 22, 2013 | — | Common Stock | 100,000 | 4 | I |
| WarrantF2,F4,F1 | $0.40 | Feb 22, 2013 | P | 18,750 | A | Feb 22, 2013 | Feb 22, 2018 | Common Stock | 18,750 | 4 | I |
| Convertible Promissory NoteF4,F1,F3 | $0.50 | Mar 6, 2013 | P | 50,000 | A | Sep 6, 2013 | — | Common Stock | 100,000 | 4 | I |
| WarrantF2,F4,F1 | $0.40 | Mar 6, 2013 | P | 18,750 | A | Mar 6, 2013 | Mar 6, 2018 | Common Stock | 18,750 | 4 | I |
| Convertible Promissory NoteF4,F1,F3 | $0.50 | Apr 8, 2013 | P | 75,000 | A | Oct 8, 2013 | — | Common Stock | 150,000 | 4 | I |
| WarrantF2,F4,F1 | $0.40 | Apr 8, 2013 | P | 18,750 | A | Apr 8, 2013 | Apr 8, 2018 | Common Stock | 18,750 | 4 | 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 a loan by FPJ to Issuer which was evidenced by a promissory note.
- F3The promissory notes are exercisable for so long as the notes are outstanding.
- F4See remark.
Remarks
(Form 3 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.