SEC Form 5 · accession 0001354488-17-000196
Meridian Waste Solutions, Inc. · MRDN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey Scott Cosman
Officer — CEO, Chairman · Director · 10% Owner
Period of report
Dec 31, 2016
Accepted (ET)
Feb 1, 2017 · 8:39 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000949721
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.025 per shareF1,F2,F3 | Oct 13, 2016 | J | 104,991 | $0.00 | A | 500,580 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Effective November 3, 2016, the Issuer completed a 1-for-20 reverse stock split. All share amounts contained herein reflect such reverse stock split.
- F2Effective November 30, 2016, pursuant to approval by FINRA, Here To Serve Holding Corporation (?Here To Serve?), a Delaware corporation that owned 166,140 shares of the common stock of the Issuer, completed the distribution of all such shares to its shareholders on a pro rata basis as of October 13, 2016. Accordingly, Mr. Cosman received 104,991 shares of the Issuer?s common stock based on, and in proportion to, his ownership of common stock of Here To Serve. Mr. Cosman is the Chief Executive Officer and sole director of Here To Serve and, accordingly, until the date of such dividend, Mr. Cosman had sole voting and dispositive power of such 166,140 shares of the common stock of the Issuer owned by Here To Serve. Based on Mr. Cosman?s ownership interest in Here To Serve, prior to such distribution, he beneficially owned indirectly 104,991 shares of 166,140 shares of the Issuer?s common stock owned by Here To Serve. Pursuant to Here To Serve?s distribution of shares of common stock of the Issuer, Mr. Cosman received 104,991 shares of the Issuer?s common stock based on, and in proportion to, his ownership of common stock of Here To Serve, beneficially owning such shares directly.
- F3This amount is comprised of (i) 499,020 shares of common stock owned directly by Mr. Cosman and (ii) 1,560 shares owned by Rush the Puck, LLC, a limited liability company in which Mr. Cosman is the majority member.