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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, Section 17(a) of the Public Utility Holding Company Act of 1935 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 | ||||||||
Subscription Rights (right to buy) | $ 15.68 (2) | 12/02/2016 | M | 63,775 (1) | 11/15/2016 | 12/06/2016(3) | Blockchain Voting Series A Preferred Stock | 63,775 (1) | $ 0 | 481,438 (1) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BYRNE PATRICK MICHAEL 799 W COLISEUM WAY MIDVALE, UT 84047 |
X | X | CEO |
/s/ Mark W. Harden (attorney-in-fact) | 12/06/2016 | |
**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) | The reporting person has exercised subscription rights to acquire the indicated number of shares of the indicated securities. The number of shares, if any, that the reporting person may ultimately acquire is subject to the closing of the subscription rights offering, to the proration provisions of the subscription rights offering and to other rights of the issuer to refuse to issue any or all of such shares to the reporting person. |
(2) | The price indicated is subject to decrease in accordance with the terms of the subscription rights offering. |
(3) | The unexercised subscription rights shown in column 9 will expire at the end of the subscription period for the subscription rights offering, which will be on December 6, 2016 unless extended. |