Home/Filings/5/0001493152-22-004657
5//SEC Filing

Piazza C Richard 5

Accession 0001493152-22-004657

CIK 0001310527other

Filed

Feb 14, 7:00 PM ET

Accepted

Feb 15, 1:54 PM ET

Size

11.5 KB

Accession

0001493152-22-004657

Insider Transaction Report

Form 5
Period: 2021-12-31
Piazza C Richard
DirectorExecutive Chairman
Transactions
  • Other

    Series E-1 Preferred Stock

    2021-12-062,9750 total
  • Other

    Common Stock

    2021-12-06+10,093,80010,093,800 total
  • Award

    Series E-1 Preferred Stock

    2020-12-30+2,9750 total
    Exercise: $0.00Common Stock (2,975,000 underlying)
  • Award

    Options to buy common stock

    2021-08-24+125,000125,000 total
    Exercise: $0.36Exp: 2031-08-23Common Stock (125,000 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

Issuer

QSAM Biosciences, Inc.

CIK 0001310527

Entity typeother

Related Parties

1
  • filerCIK 0001313183

Filing Metadata

Form type
5
Filed
Feb 14, 7:00 PM ET
Accepted
Feb 15, 1:54 PM ET
Size
11.5 KB