Filing Details
- Accession Number:
- 0001181431-13-039513
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2013-07-11 14:18:56
- Reporting Period:
- 2012-10-01
- Filing Date:
- 2013-07-11
- Accepted Time:
- 2013-07-11 14:18:56
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1374536 | Medytox Solutions Inc. | MMMS | Services-Testing Laboratories (8734) | 542156042 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 1284647 | Jace Simmons | 400 South Australian Avenue 8Th Floor West Palm Beach FL 33401 | Chief Financial Officer | No | 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 | 2012-10-01 | 1,000,000 | $0.00 | 1,000,000 | No | 4 | P | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | P | Direct |
Reported Derivative Transactions
| Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
|---|---|---|---|---|---|---|---|
| Common Stock | Options to Purchase Common Stock | Disposition | 2012-10-01 | 200,000 | $0.00 | 200,000 | $3.00 |
| Common Stock | Options to Purchase Common Stock | Acquisiton | 2012-10-01 | 1,000,000 | $0.00 | 1,000,000 | $2.50 |
| Common Stock | Options to Purchase Common Stock | Acquisiton | 2012-10-01 | 1,000,000 | $0.00 | 1,000,000 | $5.00 |
| Common Stock | Options to Purchase Common Stock | Acquisiton | 2012-10-01 | 1,000,000 | $0.00 | 1,000,000 | $10.00 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 0 | 2012-03-01 | 2017-03-01 | No | 4 | J | Direct |
| 1,000,000 | 2012-10-01 | 2017-12-31 | No | 5 | A | Direct |
| 2,000,000 | 2012-10-01 | 2017-12-31 | No | 5 | A | Direct |
| 3,000,000 | 2012-10-01 | 2022-12-31 | No | 5 | A | Direct |
Footnotes
- In consideration, in part, for Jace Simmons and the Issuer entering into a new employment agreement, Mr. Simmons was issued 1,000,000 shares of Common Stock and an aggregate 3,000,000 options to purchase a like number of shares of Common Stock. In addition, the options were also issued in consideration, in part, for the cancellation of an aggregate 200,000 options previously issued to Mr. Simmons.
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