INTELLINETICS, INC. 4
4 · INTELLINETICS, INC. · Filed Jan 19, 2016
Insider Transaction Report
Form 4
GROSS MURRAY H
Director
Transactions
- Conversion
Convertible Note
2015-12-31−68,803→ 640,000 totalExercise: $0.56From: 2014-05-30→ Common stock (113,933 underlying) - Award
COMMON STOCK
2016-01-02$0.90/sh+36,111$32,500→ 332,543 total - Conversion
COMMON STOCK
2015-12-31$0.56/sh+113,993$63,836→ 296,432 total - Conversion
Warrant
2015-12-31+53,169→ 693,169 totalExercise: $0.65From: 2015-12-30Exp: 2020-12-30→ Common stock (53,169 underlying)
Footnotes (3)
- [F1]Grant of stock under the 2015 Intellinetics, Inc. Equity Incentive Plan for director services rendered.
- [F2]Convertible Note was converted into both common stock and warrants pursuant to a private offering conducted by the Company. Notes were converted to common stock attheir stated conversion price, and warrants were granted in an amount equal to 50% of the total principal and interest converted, multiplied by 0.6.
- [F3]N/A.