SEC Form 4 · accession 0001144204-16-091689
EVINE Live Inc. · EVLV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tim Peterman
Officer — Chief Financial Officer
Period of report
Mar 28, 2016
Accepted (ET)
Mar 30, 2016 · 8:51 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000870826
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 28, 2016 | P | 162,000 | $0.9025 | A | 162,000 | I | By wife |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F2,F3 | $0.6636 | Mar 28, 2016 | A | 168,117 | A | — | Mar 28, 2026 | Common Stock | 168,117 | 168,117 | D |
Explanation of responses
- F1The price reported in column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $0.8599 to $0.9432, inclusive. The reporting person undertakes to provide to the SEC, EVINE Live Inc. (the "Company"), or any securityholder of the Company, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in footnote (1) to this Form 4.
- F2Grant issued effective as of March 28, 2016 as a long term incentive award pursuant to the Company's 2011 Omnibus Incentive Plan.
- F3The award vests in three equal installments on each of the first three anniversaries of the date of grant.