SEC Form 4 · accession 0001654954-17-003498
BLOOMIA HOLDINGS, INC. · TULP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven R Zenz
Director
Period of report
Mar 28, 2017
Accepted (ET)
Apr 20, 2017 · 4:33 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000875355
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F1 | $2.79 | Mar 28, 2017 | H | 10,000 | D | Oct 17, 2013 | Oct 17, 2023 | Common Stock | 10,000 | 0 | D |
| Employee STock Option (right to buy)F1 | $2.04 | Mar 28, 2017 | A | 13,661 | A | Mar 28, 2017 | Oct 17, 2023 | Common Stock | 13,661 | 13,661 | D |
Explanation of responses
- F1The two transactions reported involve the adjustment of an outstanding stock option to both (i) reduce the exercise price and (ii) increase the underlying shares of common stock to recognize the $0.70 chas dividend paid to the Issuer's shareholders on January 6, 2017.