|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrant to Purchase Common Stock | $ 16 (7) | 05/30/2017 | 06/29/2021(7) | Common Stock | 187,500 (7) | 187,500 | I | See footnotes (2) (8) | |||||||
Warrant to Purchase Common Stock | $ 16 (7) | 05/30/2017 | 06/29/2021(7) | Common Stock | 225,000 (7) | 225,000 | I | See footnotes (3) (8) | |||||||
Warrant to Purchase Common Stock | $ 16 (7) | 10/19/2017 | 06/29/2021(7) | Common Stock | 185,500 (7) | 185,500 | I | See footnotes (4) (8) | |||||||
Series A Convertible Preferred Stock, par value $0.00001 | (1) | 06/29/2018 | C | 300,000 | (1) | (1) | Common Stock | 409,502 (1) | (1) | 0 | I | See footnotes (2) (8) | |||
Series A Convertible Preferred Stock, par value $0.00001 | (1) | 06/29/2018 | C | 360,000 | (1) | (1) | Common Stock | 464,266 (1) | (1) | 0 | I | See footnotes (3) (8) | |||
Series A-2 Convertible Preferred Stock, par value $0.00001 | (1) | 06/29/2018 | C | 212,000 | (1) | (1) | Common Stock | 261,918 (1) | (1) | 0 | I | See footnotes (4) (8) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HEYER ANDREW R C/O MISTRAL EQUITY PARTNERS 650 FIFTH AVENUE, 10TH FLOOR NEW YORK, NY 10019 |
X | X |
/s/ Andrew R. Heyer | 07/20/2018 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Immediately prior to the close of the Issuer's initial public offering on June 29, 2018, the preferred stock, along with the aggregate accrued or accumulated and unpaid dividends thereon, converted into shares of the Issuer's common stock at a conversion price determined in accordance with the terms of the certificate of designations of each series of preferred stock, after giving effect to a 1 for 2.5 reverse stock split that became effective on June 27, 2018. |
(2) | These shares are held by Mistral Sac Holdings, LLC ("MSH"). Mr. Heyer indirectly has sole investment and dispository power over these securities. |
(3) | These shares are held by Mistral Sac Holdings 3, LLC ("MSH3"). Mr. Heyer indirectly has sole investment and dispository power over these securities. |
(4) | These shares are held by Mistral Sac Holdings 4, LLC ("MSH4"). Mr. Heyer indirectly has sole investment and dispository power over these securities. |
(5) | Reflects a 1 for 2.5 reverse stock split that became effective on June 27, 2018. |
(6) | These shares are held by SAC Acquisition LLC ("SAC"). Mr. Heyer indirectly has sole investment and dispository power over these shares. |
(7) | Pursuant to the terms of each warrant, upon the close of the Issuer's initial public offering on June 29, 2018, and after giving effect to a 1 for 2.5 reverse stock split that became effective on June 27, 2018, each warrant automatically adjusted as follows: (i) the exercise price was adjusted to be equal to the purchase price or deemed purchase price per share of common stock in the Issuer's initial public offering, and (ii) the expiration date of each warrant was adjusted to be June 29, 2021, three years from the close of the Issuer's initial public offering. |
(8) | By reason of the provisions of Rule 16a-1 of the Exchange Act, Mr. Heyer may be deemed to be beneficial owners of certain of the securities that are deemed to be beneficially owned by SAC, MSH, MSH3 and MSH4. Mr. Heyer disclaims beneficial ownership of the securities owned by SAC, MSH, MSH3 and MSH4, except to the extent of Mr. Heyer's pecuniary interest therein. |