10/31/2024 | Press release | Distributed by Public on 10/31/2024 15:39
FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Convertible Note | $0.13 | 10/29/2024 | C | 816,924(1) | 05/10/2022 | 05/10/2027 | Common Stock | 816,924 | $0.13 | 0 | D | ||||
Convertible Note | $0.25 | 10/29/2024 | C | 435,467(2) | 09/15/2023 | 03/15/2026 | Common Stock | 435,467 | $0.25 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ROSENBAUM PAUL A 4446-1A HENDRICKS AVE SUITE 354 JACKSONVILLE, FL 32207 |
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/s/ Paul A Rosenbaum | 10/31/2024 |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Shares issued upon conversion of, and payment of accrued interest on, a Convertible Note dated May 10, 2022, as amended, with a face value of $100,000 and a fixed conversion price of $0.13. |
(2) | Shares issued upon conversion of, and payment of accrued interest on, a Convertible Note dated September 15, 2023, as amended, with a face value of $100,000 and a fixed conversion price of $0.25. |
(3) | Interest in kind paid on Convertible Note dated May 10, 2022. |