Home/Filings/5/0001144204-13-021528
5//SEC Filing

Andrew William V. 5

Accession 0001144204-13-021528

CIK 0001476638other

Filed

Apr 11, 8:00 PM ET

Accepted

Apr 12, 2:43 PM ET

Size

24.3 KB

Accession

0001144204-13-021528

Insider Transaction Report

Form 5
Period: 2012-12-31
Transactions
  • Purchase

    12% Convertible Promissory Note due October 2012

    2012-04-20+625,000625,000 total(indirect: By Trust)
    Exercise: $0.20From: 2012-04-20Common Stock (625,000 underlying)
  • Award

    Director Stock Option (right to buy)

    2012-07-18+500,000500,000 total
    Exercise: $0.35From: 2012-07-18Exp: 2022-07-18Common Stock (500,000 underlying)
  • Purchase

    12% Convertible Promissory Note due October 2012

    2012-08-15+259,863259,863 total(indirect: By Trust)
    Exercise: $0.20From: 2012-08-15Common Stock (259,863 underlying)
  • Conversion

    Common Stock Warrants (right to buy)

    2011-09-21+102,723102,723 total(indirect: By Trust)
    Exercise: $0.63From: 2011-09-21Exp: 2016-09-20Common Stock (102,723 underlying)
  • Purchase

    Common Stock Warrants (right to buy)

    2011-12-16+100,000100,000 total(indirect: By Trust)
    Exercise: $1.00From: 2011-12-16Exp: 2016-12-15Common Stock (100,000 underlying)
Holdings
  • Common Stock

    (indirect: By Trust)
    630,445
Footnotes (8)
  • [F1]The reporting person became a director of the Issuer on July 18, 2012.
  • [F2]Represents the reporting person's ownership on reported securities prior to being appointed as a director of the Issuer.
  • [F3]Andrew Revocable Trust U/A 5/4/94 (the "Trust") owns the reported securities directly. The reporting person is the trustee of the Trust, has the power to vote and dispose of the shares, and may be deemed to have an indirect interest in the reported securities.
  • [F4]The reporting person converted a $50,000 Promissory Note plus interest on September 21, 2011 to Units of the Issuer at a conversion price of $0.25 per Unit resulting in his acquisition of 205,445 Units. Each Unit consists of one share of common stock and one warrant to purchase one-half share of common stock at the exercise price of $0.625 per share.
  • [F5]The reported securities are included within the Units of the Issuer purchased by the reporting person for $0.375 per Unit. Each Unit consists of one share of common stock and one warrant to purchase one-quarter of a share of common stock at the exercise price of $1.00 per share.
  • [F6]On July 18, 2012, the reporting person was granted an option to purchase 500,000 shares of common stock. 50% vested upon issuance and 50% is eligible to vest on July 18, 2013.
  • [F7]Does not include interest accrued and unpaid as of the date of this report.
  • [F8]None

Issuer

Rackwise, Inc.

CIK 0001476638

Entity typeother

Related Parties

1
  • filerCIK 0001572805

Filing Metadata

Form type
5
Filed
Apr 11, 8:00 PM ET
Accepted
Apr 12, 2:43 PM ET
Size
24.3 KB