SEC Form 5 · accession 0001607062-15-000062
Kiwibox.Com, Inc. · KIWB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Craig S Cody
Officer — Chief Financial Officer
Period of report
Dec 31, 2014
Accepted (ET)
Feb 18, 2015 · 3:43 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000838796
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 31, 2012 | A | 250,000 | $0.00 | A | 500,000 | D | |
| Common StockF2 | Jan 1, 2015 | A | 200,000 | $0.00 | A | 700,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock WarrantF3,F2 | $0.025 | Dec 3, 2010 | A | 500,000 | A | Dec 3, 2010 | Dec 4, 2015 | Common Stock | 500,000 | 500,000 | D |
Explanation of responses
- F11. Reporting Person received a stock grant of 250,000 as a year end bonus.
- F22. Reporting Person received a stock grant of 200,000 as a Christmas bonus.
- F33. Reporting Person was awarded a common stock purchase warrant to purchase up to 500,000 common shares, exercisable at $.025 per share or on a cashless exercise basis, any time during the 5-year exercise period, commencing December 3, 2010. The value of the Warrant has not been determined. Price of stock options is indeterminable.