$AGPU·4

Skyline Medical Inc. · Sep 3, 12:46 PM ET

Skyline Medical Inc. 4

4 · Skyline Medical Inc. · Filed Sep 3, 2013

Insider Transaction Report

Form 4
Period: 2013-08-29
Transactions
  • Other

    Convertible Promissory Note

    2013-08-29+00 total(indirect: See Footnote)
    Common Stock, par value $0.01 per share (70,432,143 underlying)
Footnotes (4)
  • [F1]On August 29, 2013, SOK Partners, LLC ("SOK Partners") advanced an additional $142,718 to the Issuer under the Convertible Promissory Note, dated March 28, 2012, made by the Issuer in favor of SOK Partners (the "Grid Note"). The Grid Note may be converted at any time by the holder into shares of the Issuer's common stock, par value $0.01 per share ("Shares"). The August 29, 2013 advance is convertible into 10,194,143 Shares.
  • [F2]The aggregate principal amount and accrued interest of $673,584 as of August 29, 2013 under the Grid Note is convertible into an aggregate of 48,113,143 Shares.
  • [F3]Dr. Herschkowitz holds a Convertible Promissory Note, dated December 20, 2011, made by the Issuer in the principal amount of $240,000 (the "First Note"). The aggregate principal amount and accrued interest of $312,466 as of August 29, 2013 under the Grid Note is convertible at any time by the holder into an aggregate of 22,319,000 Shares.
  • [F4]Atlantic Partners Alliance LLC is the sole member of SOK Partners. Dr. Herschkowitz is one of the members of Atlantic Partners Alliance LLC and may therefore be deemed to be the beneficial holder of securities of the Issuer held by SOK Partners.

Documents

1 file
  • 4
    v354257_4.xmlPrimary

    OWNERSHIP DOCUMENT