Sample Gwendolyn G 4
4 · Acacia Diversified Holdings, Inc. · Filed Feb 22, 2013
Insider Transaction Report
Form 4Exit
Sample Gwendolyn G
Other
Transactions
- Gift
Common stock
[F1][F2]2012-06-13+17,500→ 937,000 total
Footnotes (2)
- [F1]This Form 4 is submitted to correct error. Reporting Person erroneously made a further report on Form 3 on June 26, 2012, rather than on Form 4 to advise she was no longer responsible to report under Section 16.
- [F2]Represents shares originally gifted by Reporting Person, but later returned to Reporting Person by Giftee.
Signature
/s/ Gwendolyn G. Sample by /s/ Steven L. Sample, PoA|2013-02-22