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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 | ||||||||
Option for Shares of Preferred Class A Stock | (1) | 08/12/2022 | J(2) | 1 (3) | (4) | (5) | Preferred Class A Stock par value $0.0001 per share | 4,100,000 | $ 820,793.24 (6) | 2 (7) | 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 | 08/16/2022 | |
**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) | There is no conversion or exercise price applicable to the acquisition of this option; however, the purchase price for the option is reported in column 8. The exercise price of the underlying derivative securities, upon exercise of the option, is the par value of $0.0001 per share. |
(2) | The Reporting Person and the Issuer entered into an instrument whereby the Reporting Person waived claims to certain unpaid compensation due to him from the Issuer through July 31, 2022, in the amount of $820,793.24, in exchange for the Issuer's issuance to the Reporting Person of an option to receive 4,100,000 shares of the Company's Preferred Class A Stock. |
(3) | A single option was given to acquire 4,100,000 shares of the Company's Preferred Class A Stock. |
(4) | The option granted through the instrument is exercisable at any time. |
(5) | The option granted through the instrument has no expiration date. |
(6) | The price paid for the option was the waiver of claims by the Reporting Person to certain unpaid compensation due to him from the Issuer through July 31, 2022, in the amount of $820,793.24. |
(7) | The Reporting Person has (a) 1 option to acquire 4,100,000 shares of the Company's Preferred Class A Stock, and (b) 1 previously issued option, yet unexercised, to acquire 4,500,000 shares of the Company's Preferred Class A Stock; thus, collectively the Reporting Person has 2 options to acquire a total of up to 8,600,000 shares of the Company's Preferred Class A Stock. |