|5Feb 15, 6:11 AM ET

Link David Charles 5

5 · QSAM Biosciences, Inc. · Filed Feb 15, 2022

Insider Transaction Report

Form 5
Period: 2021-12-31
Transactions
  • Other

    Series E-1 Preferred Stock

    2021-12-068500 total
  • Award

    Options to buy common

    2021-08-24+55,00055,000 total
    Exercise: $0.36Exp: 2031-08-23Common Stock (55,000 underlying)
  • Other

    Common Stock

    2021-12-06+2,883,9432,883,943 total
  • Award

    Series E-1 Preferred Shares

    2021-02-15+8500 total
    Exercise: $0.00Common Stock (850,000 underlying)
Footnotes (3)
  • [F1]Pursuant to reclassification exempt under Rule 16b-7, each share of Series E-1 Preferred Stock was reclassified into and exchanged for shares of Common Stock of the Issuer under the terms of Exchange Agreement and Plan of Reorganization as filed with the SEC.
  • [F2]The option vests semi-annually in two equal installments beginning on 02/24/2022.
  • [F3]Series E-1 Preferred Stock was convertible at any time at the discretion of the holder at a ratio of 1000 shares of Common Stock per Series E-1 Preferred Stock.

Documents

1 file
  • 5
    ownership.xmlPrimary