SEC Form 4 · accession 0001654954-18-007410
BLOOMIA HOLDINGS, INC. · TULP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven R Zenz
Director
Period of report
Jun 30, 2018
Accepted (ET)
Jul 6, 2018 · 6:54 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock EquivalentF1 | $0.00 | Jun 30, 2018 | A | 1,917 | A | — | — | Common Stock | 1,917 | 1,917 | D |
Explanation of responses
- F1Each Common Stock Equivalent is the economic equivalent of one share of Insignia Systems, Inc. common stock. The Common Stock Equivalents were acquired pursuant to the Insignia Systems, Inc. Deferred Compensation Plan for Directors (the "Plan"), whereby Directors may elect to defer receipt of cash fees. The Common Stock Equivalents will be settled (i) in Insignia Systems, Inc. common stock upon a separation from service with the Company or (ii) in cash upon an earlier change in control of the Company.