Filing Details

Accession Number:
0001135432-12-000032
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-11-13 12:04:48
Reporting Period:
2012-11-06
Filing Date:
2012-11-13
Accepted Time:
2012-11-13 12:04:48
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1485074 Freeze Tag Inc. FRZT Services-Prepackaged Software (7372) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1510480 Craig Holland 228 W. Main Street, 2Nd Floor
Tustin CA 92780
President And Ceo Yes Yes Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2012-11-06 10,680,356 $0.01 24,552,731 No 4 P Indirect Footnote 1
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect Footnote 1
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Convertible Note Acquisiton 2012-01-26 0 $100,000.00 2,000,000 $0.05
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
2,115,000 2012-01-26 2013-01-26 No 4 P Indirect
Footnotes
  1. Of the 24,552,731 shares held beneficially by the reporting person, 10,680,356 are held of record by the Holland Family Trust, of which the reporting person became the sold trustee in April 2012.
  2. Represents the principal amount of the convertible promissory note issued on January 26, 2012.
  3. Represents the shares of common stock issuable upon conversion of the entire principal amount of the convertible promissory note.
  4. Of the 2,115,000 shares that could be acquired through derivative securities, 2,000,000 are upon the conversion of the promissory note held by the Holland Family Trust, of which the reporting person became the sole Trustee in April 2012, but is not the sold beneficiary.