FITLIFE BRANDS, INC. 4

4 · FITLIFE BRANDS, INC. · Filed Oct 9, 2013

Form 4

Period: 2013-09-27

DirectorCHIEF EXECUTIVE OFFICER

Transactions

Conversion
Common Stock
2013-09-27+8,312→ 414,078 total
Other
Common Stock
2013-09-27+35,809→ 405,766 total
Other
Series C Convertible Preferred Stock
2013-09-27−16.7→ 0 total
From: 2010-11-15→ Common Stock (66,800 underlying)
Conversion
Warrant
2013-09-27−33,250→ 0 total
Exercise: $3.00From: 2010-11-15Exp: 2015-11-15→ Common Stock (33,250 underlying)

Footnotes (4)

[F1]Each share of Series C Convertible Preferred Stock (the "Series C Preferred") is convertible into that number of shares of the Issuer's common stock, par value $0.01 per share ("Common Stock"), equal to the stated value of the Series C Preferred, divided by $2.50 per share. Per these terms and pursuant to a reclassification exempt under Rule 16b-7, one-half of the Reporting Person's shares of Series C Preferred, plus all accrued dividends thereon, were converted into shares of the Issuer's Common Stock, and the remaining one-half were redeemed by the Issuer for a cash payment equal to the stated value of the shares of Series C Preferred, plus all accrued dividends thereon.
[F2]Shares reported on a post-split basis, following a one-for-ten reverse split of the Issuer's Common Stock on September 30, 2013.
[F3]The Reporting Person converted the warrants into that number of shares of Common Stock equal to the total number of shares of Common Stock issuable upon exercise of the warrants, divided by four.
[F4]Shares of Series C Preferred do not expire.

Documents

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