SEC Form 4 · accession 0001615774-17-000012
GlyEco, Inc. · GLYE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dwight Mamanteo
Director
Period of report
Dec 27, 2016
Accepted (ET)
Jan 4, 2017 · 8:23 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000931799
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 Purchase WarrantF3 | $0.08 | Dec 27, 2016 | P | 312,500 | A | Dec 27, 2016 | Dec 27, 2019 | Common Stock | 312,500 | 312,500 | D |
| Common Stock Purchase WarrantF4,F2 | $0.08 | Dec 27, 2016 | P | 31,250 | A | Dec 27, 2016 | Dec 27, 2019 | Common Stock | 31,250 | 31,250 | I |
Explanation of responses
- F1These warrants were issued in connection with a private placement offering of 8% Senior Unsecured Promissory Notes and warrants to purchase common stock by the Issuer on December 27, 2016.
- F2Held by the reporting person's son, who resides in the reporting person's household.
- F3A Common Stock Purchase Warrant entitling the Reporting Person to acquire an aggregate of 312,500 shares of the Issuer's Common Stock at an exercise price of $.08 per share was acquired by the Reporting Person as additional consideration pursuant to the December 27, 2016 Securities Purchase Agreement between the Reporting Person and the Issuer. No monetary value was ascribed to the warrant.
- F4A Common Stock Purchase Warrant entitling the Reporting Person's son to acquire an aggregate of 31,250 shares of the Issuer's Common Stock at an exercise price of $.08 per share was acquired by the Reporting Person as additional consideration pursuant to the December 27, 2016 Securities Purchase Agreement between the Reporting Person and the Issuer. No monetary value was ascribed to the warrant.