4//SEC Filing
Independence Bancshares, Inc. 4
Accession 0001503249-15-000016
CIK 0001311828operating
Filed
May 17, 8:00 PM ET
Accepted
May 18, 11:23 AM ET
Size
8.3 KB
Accession
0001503249-15-000016
Insider Transaction Report
Form 4
WILLUMSTAD ROBERT B
DirectorChairman
Transactions
- Purchase
SERIES A CONVERTIBLE PREFERRED STOCK
2015-05-14$0.80/sh+250$200→ 250 totalExercise: $0.80From: 2015-05-14→ COMMON STOCK (250 underlying) - Award
STOCK OPTION (RIGHT TO BUY)
2015-05-14+37,500→ 37,500 totalExercise: $0.65From: 2015-05-14Exp: 2025-05-14→ COMMON STOCK (37,500 underlying)
Holdings
- 1,250,000
COMMON STOCK
Footnotes (2)
- [F1]The Series A preferred stock is convertible into Independence Bancshares, Inc. common stock at a price per share of $0.80 per share, thus, each share of Preferred Stock would convert into 1,250 shares of Common Stock.
- [F2]The Series A preferred stock has no expiration date.
Documents
Issuer
Independence Bancshares, Inc.
CIK 0001311828
Entity typeoperating
IncorporatedSC
Related Parties
1- filerCIK 0001311828
Filing Metadata
- Form type
- 4
- Filed
- May 17, 8:00 PM ET
- Accepted
- May 18, 11:23 AM ET
- Size
- 8.3 KB