SEC Form 5 · accession 0001607062-16-000642
Kiwibox.Com, Inc. · KIWB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Andre Scholz
Officer — President & CEO · Director
Period of report
Dec 31, 2015
Accepted (ET)
Feb 9, 2016 · 3:25 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, 2015 | A | 1,200,000 | $0.00 | A | 10,650,000 | D | |
| Common StockF2 | Jan 1, 2016 | A | 800,000 | $0.00 | A | 11,450,000 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Reporting Person earns 100,000 restricted common shares for each month of service rendered to Registrant and, therefore, was paid 1,200,000 restricted common shares earned for the 12-month period, January 1, 2015, through December 31, 2015.
- F2Reporting Person received a stock grant of 800,000 restricted common shares as a Christmas bonus