SEC Form 4 · accession 0001144204-18-022358
FALCONSTOR SOFTWARE INC · FALC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
HCP-FVA, LLC
Director · 10% Owner · Other
Period of report
Apr 23, 2018
Accepted (ET)
Apr 25, 2018 · 4:00 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000922521
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Apr 23, 2018 | M | 13,724,818 | $0.001 | A | 14,576,172 | D | |
| Common StockF2 | Apr 23, 2018 | M | 39,645,783 | $0.001 | A | 54,221,955 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF1 | $0.001 | Apr 23, 2018 | M | 13,859,128 | D | Nov 17, 2017 | Nov 17, 2027 | Common Stock | 13,724,818 | 0 | D |
| WarrantsF2,F3 | $0.001 | Apr 23, 2018 | M | 40,033,752 | D | Feb 23, 2018 | Feb 23, 2028 | Common Stock | 39,645,783 | 1,543,630 | D |
Explanation of responses
- F1HCP-FVA, LLC, a Delaware limited liability company ("HCP-FVA"), exercised that certain Warrant, dated November 17, 2017, to purchase 13,859,128 shares of common stock ("Common Stock") of Falconstor Software, Inc. (the "Issuer") on a cashless exercise basis with respect to all 13,859,128 shares issuable upon exercise thereof. As a result of such cashless exercise, HCP-FVA received 13,724,818 shares of Common Stock.
- F2HCP-FVA exercised that certain Warrant, dated February 23, 2018, to purchase 41,577,382 shares of Common Stock on a cashless exercise basis with respect to 40,033,752 shares issuable upon exercise thereof. As a result of such cashless exercise, HCP-FVA received 39,645,783 shares of Common Stock and retained the right to purchase 1,543,630 shares of Common Stock under such Warrant.
- F3As set forth in HCP-FVA's previous filings, HCP-FVA also holds that certain Warrant, dated February 23, 2018, to purchase 366,990,000 shares of Common Stock and shares of Series A Convertible Preferred Stock of the Issuer that are convertible into 8,781,515 shares of Common Stock.
Remarks
HCP-FVA has the right to designate a director of the Issuer pursuant to the terms of the Certificate of Designation of Series A Convertible Preferred Stock of the Issuer and Martin Hale, Jr. is the board designee of HCP-FVA. Accordingly, HCP-FVA is a director by deputization.