SEC Form 4 · accession 0001493152-19-001310

PEN INC. · PENC

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Jan 31, 2019

Accepted (ET)

Feb 4, 2019 · 4:02 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 Stock^F1	Jan 31, 2019	A	30,157	$0.40	A	67,852	I	See note

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Warrant^F1,F2	$1.50	Jan 31, 2019	P	30,157	A	Jan 31, 2019	—	Class A common stock	30,157	67,852	I

F1Shares and derivative securities acquired were purchased by a family investing entity that purchased an interest in an investing entity that acquired the issuer's securities in a private placement. Reporting person has voting control over the securities held by the family entity but reporting person disclaims beneficial ownership of the securities held by the entity for which he does not have pecuniary interest and this filing should not be construed as an admission that the reporting person is the beneficial owner of these securities.
F2Warrant will expire on the earlier of 1/31/2023 or the date that the Class A common stock has been trading at or above 120% of the exercise price for a period of 90 days.