Home/Filings/5/0001493152-21-003961
5//SEC Filing

Mayersohn Joel David 5

Accession 0001493152-21-003961

CIK 0001310527other

Filed

Feb 15, 7:00 PM ET

Accepted

Feb 16, 4:00 PM ET

Size

10.3 KB

Accession

0001493152-21-003961

Insider Transaction Report

Form 5
Period: 2020-12-31
Transactions
  • Award

    Options to buy common stock

    2020-01-06+40,00040,000 total
    Exercise: $0.50From: 2020-01-06Exp: 2030-01-06COMMON STOCK (40,000 underlying)
  • Conversion

    COMMON STOCK

    2020-09-30$0.22/sh+331,834$73,003371,594 total
  • Award

    COMMON STOCK

    2020-12-17$0.22/sh+96,782$21,292468,376 total
Holdings
  • Options to buy common stock

    Exercise: $0.50From: 2018-12-01Exp: 2028-12-01COMMON STOCK (37,840 underlying)
    37,840
Footnotes (2)
  • [F1]Shares acquired upon conversion of promissory note at a conversion price of $0.22 per share.
  • [F2]Shares acquired upon conversion of accured directors fees at a conversion price of $0.22 per share.

Documents

1 file

Issuer

QSAM Biosciences, Inc.

CIK 0001310527

Entity typeother

Related Parties

1
  • filerCIK 0001588395

Filing Metadata

Form type
5
Filed
Feb 15, 7:00 PM ET
Accepted
Feb 16, 4:00 PM ET
Size
10.3 KB