Kubient, Inc.·5

Feb 16, 9:52 PM ET

Smith Christopher H 5

5 · Kubient, Inc. · Filed Feb 16, 2021

Insider Transaction Report

Form 5
Period: 2020-12-31
Transactions
  • Conversion

    Common Stock Purchase Warrant

    2020-08-14+9,0279,027 total(indirect: By Spouse)
    Exercise: $5.50From: 2020-08-14Exp: 2025-08-14Common Stock (9,027 underlying)
  • Conversion

    Common Stock

    2020-08-14+9,0279,027 total(indirect: By Spouse)
Footnotes (5)
  • [F1]Represents the shares of common stock of Kubient, Inc. (the "Company") issued upon conversion of $31,594 of promissory notes that, upon the initial public offering of the Company, converted into 9,027 immediately-separable units composed of (i) one share of common stock, and (ii) one warrant to purchase one share of common stock at a price of $5.50 per share.
  • [F2]Not previously reported on Form 4.
  • [F3]Does not include 9,027 shares of common stock underlying five-year warrants issued on August 14, 2020, which are reported on Table II of this Form 5. Additionally, does not include 8,571 immediately-separable units composed of (i) one share of common stock, and (ii) one warrant to purchase one share of common stock at a price of $5.50 per share, underlying five-year warrants issued on November 6, 2019.
  • [F4]Represents the warrants to purchase shares of common stock issued upon conversion of $31,594 of promissory notes that, upon the initial public offering of the Company, converted into 9,027 immediately-separable units composed of (i) one share of common stock, and (ii) one warrant to purchase one share of common stock at a price of $5.50 per share.
  • [F5]The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose

Documents

1 file
  • 5
    tm216792-9_5seq1.xmlPrimary

    OWNERSHIP DOCUMENT