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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 | ||||||||
Options for Preferred Class A Stock | (1) | 07/15/2022 | J(1) | 12,500,000 | (5) | (5) | Preferred Class A Stock par value $0.0001 per share | 12,500,000 | (3) | 0 | D | ||||
Preferred Class A Stock, Par Value $0.0001 Per Share | (1) | 07/15/2022 | J(1) | 12,500,000 | (6) | (6) | Common Stock par value $0.0001 per share | 12,500,000 | (1) | 12,500,000 | D | ||||
Preferred Class A Stock, Par Value $0.0001 Per Share | (2) | 07/15/2022(4) | M | 8,000,000 | (6) | (6) | Common Stock par value $0.0001 per share | 12,500,000 | (1) | 4,500,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Absher Scott W 501 BRICKELL KEY DRIVE SUITE 300 MIAMI, FL 33131 |
X | X | CEO |
/s/ Scott W. Absher | 07/19/2022 | |
**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) | Owner surrendered option to acquire 12,500,000 shares of Preferred Class A Stock, par value $0.0001 per share, and tendered additional sum of $5,000 in exchange for the issuance of the 12,500,000 shares of Preferred Class A Stock. |
(2) | There was no price required or paid for conversion of the 12,500,000 shares of Preferred Class A Stock, par value $0.0001 per share, to 12,500,000 shares of Common Stock. |
(3) | The option was issued to the owner in connection with an issuance originally effected at or near the founding of the company. |
(4) | The shares were issued to the owner on 7/19/2022. |
(5) | The options became exercisable upon the occurrence of certain triggering events the date for which was not yet determined. Upon the occurrence of such events, the owner has 2 years to exercise the options. |
(6) | The Preferred Class A Stock, Par Value $0.0001 Per Share is convertible immediately and has no expiration date. |