|5Jun 3, 8:35 AM ET

Bloss Roger James 5

5 · MJ Holdings, Inc. · Filed Jun 3, 2021

Insider Transaction Report

Form 5
Period: 2020-12-31
Bloss Roger James
Chief Executive Officer
Transactions
  • Award

    Stock option

    2020-09-15$0.75/sh+500,000$375,000500,000 total
    Exercise: $0.75From: 2020-09-15Exp: 2023-09-15Common stock (500,000 underlying)
Holdings
  • Common stock

    1,768,562
Footnotes (2)
  • [F1]Includes 1,000,000 shares of common stock acquired by Mr. Bloss pursuant to the Company's Regulation D private placement offering at $0.75 per share, 500,000 shares of common stock issued upon the conversion of a $250,000 convertible note, 18,562 shares of common stock issued as an interest payment against a convertible note and 250,000 shares of common stock issued for services rendered on behalf of the Company.
  • [F2]On September 15, 2020, Mr. Bloss was granted an option to purchase 500,000 shares of the Company's common stock as per the terms of his Employment Agreement (the "Agreement") dated September 15, 2020. The option has an exercise price of $0.75 and expires on the three-year anniversary date of the Agreement. 250,000 shares vested upon execution of the Agreement and 250,000 shares vest at the one-year anniversary of the Agreement.

Documents

1 file
  • 5
    ownership.xmlPrimary