Holland Craig 4
4 · Freeze Tag, Inc. · Filed Nov 13, 2012
Insider Transaction Report
Form 4
Freeze Tag, Inc.FRZT
Holland Craig
DirectorPresident and CEO10% Owner
Transactions
- Purchase
Convertible Note
2012-01-26$100000.00/sh→ 2,115,000 total(indirect: Footnote 4)Exercise: $0.05From: 2012-01-26Exp: 2013-01-26→ Common Stock (2,000,000 underlying) - Purchase
Common Stock
2012-11-06$0.01/sh+10,680,356$80,103→ 24,552,731 total(indirect: Footnote 1)
Footnotes (4)
- [F1]Of the 24,552,731 shares held beneficially by the reporting person, 10,680,356 are held of record by the Holland Family Trust, of which the reporting person became the sold trustee in April 2012.
- [F2]Represents the principal amount of the convertible promissory note issued on January 26, 2012.
- [F3]Represents the shares of common stock issuable upon conversion of the entire principal amount of the convertible promissory note.
- [F4]Of the 2,115,000 shares that could be acquired through derivative securities, 2,000,000 are upon the conversion of the promissory note held by the Holland Family Trust, of which the reporting person became the sole Trustee in April 2012, but is not the sold beneficiary.