SEC Form 4 · accession 0001185185-17-000627
AMERITYRE CORP · AMTY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Lynda R. Keeton-Cardno
Officer — CFO
Period of report
Jan 21, 2017
Accepted (ET)
Mar 22, 2017 · 4:56 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000945828
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stock | Jul 20, 2015 | A | 150,000 | $0.03 | A | 270,000 | D | |
| Common stock | Nov 16, 2015 | G | 37,500 | $0.00 | D | 232,500 | D | |
| Common stock | Jan 21, 2017 | A | 50,000 | $0.04 | A | 282,500 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option | $0.10 | Jan 21, 2015 | A | 50,000 | A | Dec 1, 2015 | Dec 1, 2018 | Common stock | 50,000 | 50,000 | D |
| Option | $0.10 | Jan 9, 2016 | A | 50,000 | A | Dec 1, 2016 | Dec 1, 2018 | Common stock | 50,000 | 50,000 | D |