MILLS RICHARD C 5

Accession 0001179110-19-000479

CIK 0001356093other

View on SEC.gov Company Profile

Filed

Jan 6, 7:00 PM ET

Accepted

Jan 7, 10:07 AM ET

Size

32.0 KB

Accession

0001179110-19-000479

Insider Transaction Report

Form 5

Period: 2017-12-31

CREATIVE REALITIES, INC.CREX

MILLS RICHARD C

DirectorChief Executive Officer

Transactions

Other
Common Stock
2015-10-15+248,236→ 248,236 total
Other
Common Stock
2017-09-01+106,602→ 354,838 total
Conversion
Common Stock
2017-09-27$0.26/sh+180,754$46,092→ 535,592 total
Other
Series A-1 Convertible Preferred Stock
2015-10-15+1,235,794→ 1,235,794 total
Exercise: $0.26From: 2015-10-15→ Common Stock (161,542 underlying)
Other
Series A-1 Convertible Preferred Stock
2015-12-31+15,860→ 1,251,654 total
Exercise: $0.26From: 2015-12-31→ Common Stock (2,074 underlying)
Other
Series A-1 Convertible Preferred Stock
2016-12-31+38,240→ 1,327,444 total
Exercise: $0.26From: 2016-12-31→ Common Stock (4,999 underlying)
Other
Series A-1 Convertible Preferred Stock
2017-06-30+39,824→ 1,367,268 total
Exercise: $0.26From: 2017-06-30→ Common Stock (5,206 underlying)
Other
Warrants to purchase Common Stock
2015-10-15+8,929→ 8,929 total(indirect: By LLC)
Exercise: $8.38From: 2015-10-15Exp: 2020-10-15→ Common Stock (8,929 underlying)
Sale
Convertible Promissory Note
2017-01-17$565000.00/sh−547,824$309,520,560,000→ 0 total
Exp: 2017-10-15→ Common Stock (18,261 underlying)
Other
Common Stock
2015-10-15+87,976→ 87,976 total(indirect: By LLC)
Other
Series A-1 Convertible Preferred Stock
2016-06-30+37,550→ 1,289,204 total
Exercise: $0.26From: 2016-06-30→ Common Stock (4,909 underlying)
Conversion
Series A-1 Convertible Preferred Stock
2017-09-27−1,327,444→ 0 total
Exercise: $0.26From: 2016-12-31→ Common Stock (180,754 underlying)
Other
Convertible Promissory Note
2015-10-15+547,824→ 547,824 total(indirect: By LLC)
Exp: 2017-10-15→ Common Stock (18,261 underlying)

Footnotes (8)

[F1]Shares received as merger consideration in connection with Issuer's merger with Conexus World Capital, LLC.
[F2]The Reporting Person is a principal of RFK Communications, LLC and has voting and investment power for this entity.
[F3]No expiration date.
[F4]The Reporting Person received these shares as a payment-in-kind dividend.
[F5]Received Secured Convertible Promissory Note for $150,000 which is convertible into approximately 547,824 shares of Common Stock, including interest through 11/30/2016; and a Warrant to purchase 267,857 shares of Common Stock in connection with surrender and conversion of earlier-issued debt of ConeXus. The Warrant contains provisions blocking exercise if such exercise would result in the purchaser holding more than 4.99% of the Issuer's shares outstanding.
[F6]The Reporting Person received these shares in connection with an agreement reached on September 1, 2017 by Creative Realities, Inc. and the prior shareholders of ConeXus to recognize the value obtained by Creative Realities, Inc. as a result of the merger and to settle the Holdback Shares to the prior shareholders of ConeXus.
[F7]All common stock share numbers have be adjusted to reflect a 1 for 30 reverse stock split effective on 10/17/2018.
[F8]On or about January 17, 2017, all of the outstanding Convertible Promissory Notes were acquired by the Issuer's largest shareholder.

Documents

1 file

5
edgar.xmlPrimary
FORM 5 -

Issuer

CREATIVE REALITIES, INC.

CIK 0001356093

→

Entity typeother

Related Parties

filerCIK 0001076128

Filing Metadata

Form type: 5
Filed: Jan 6, 7:00 PM ET
Accepted: Jan 7, 10:07 AM ET
Size: 32.0 KB

View on SEC.gov