SEC Form 4 · accession 0001493152-18-017197
PEN INC. · PENC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tom J. Berman
Officer — President · Director · 10% Owner
Period of report
Dec 5, 2018
Accepted (ET)
Dec 7, 2018 · 3:52 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000891417
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Dec 5, 2018 | J | 5,000 | $0.40 | A | 5,000 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares acquired were awarded for service as a director of PEN Inc.
Remarks
Reporting person shares with Ronald J. Berman the voting and dispositive power with respect to the following securities of the issuer: 550,847 shares of Class A common Stock ("Shares"); options to acquire 550,847 Shares at an exercise price of $1.00 per Share; warrants to acquire 550,847 Shares at an exercise price of $1.50 per Share; warrant options granting right to purchase (at a price of $.03 per warrant) options to acquire 550,847 Shares at a price of $2.00 per Share. Reporting person disclaims any beneficial interest in these securities.