MIX 1 LIFE, INC. 5
5 · MIX 1 LIFE, INC. · Filed Nov 2, 2015
Insider Transaction Report
Form 5
MIX 1 LIFE, INC.MIXX
LARSON CHRISTOPHER
DirectorChief Financial Officer10% Owner
Transactions
- Purchase
Common Stock
2015-10-27$1.11/sh+10,650$11,822→ 103,952 total
Holdings
- 1,711,984(indirect: See Footnote)
Common Stock
Footnotes (2)
- [F1]The amount of shares owned directly is as of the date of this filing.
- [F2]Indirect Ownership includes 150 shares in the name of Mr. Larson's minor child, 78,500 common shares held in the name of Thomas Lake & Company, a corporation controlled by Mr. Larson, and 1,633,334 common shares held in the name of Mix Development Group LLC, an Arizona limited liability company controlled by Mr. Larson.