|5Apr 16, 4:21 PM ET

SCHOLZ ANDRE 5

5 · Kiwibox.Com, Inc. · Filed Apr 16, 2012

Insider Transaction Report

Form 5
Period: 2011-12-31
SCHOLZ ANDRE
DirectorPres/CEO-Kiwibox Media, Inc.
Transactions
  • Award

    Common Stock

    2012-03-31+200,0005,350,000 total
  • Award

    Common Stock

    2012-02-09+600,0005,150,000 total
Holdings
  • Common Stock

    (indirect: See footnote)
    23,396,176
Footnotes (3)
  • [F1]As previously reported, Reporting Person earns 100,000 restricted common shares for each month of service rendered to Registrant and this amount of 200,000 restricted common shares have been earned for the two-month period, ending March 31, 2012, but have not yet been issued.
  • [F2]This amount of restricted common shares were earned by Reporting Person for the six months of service rendered to the Company through January 31, 2012 and we issued to him.
  • [F3]Reporting Person acquired these shares in a private stock purchase from a shareholder through a German entity, Interscholz Beteiligungs GmbH, over which Reporting Person has investment and voting control, as reported on the Form 4 filed with the Commission on October 16, 2009 by Reporting Person.

Documents

1 file
  • 5
    v309547_5.xmlPrimary

    OWNERSHIP DOCUMENT