Filing Details

Accession Number:
0001535236-14-000002
Form Type:
5
Zero Holdings:
No
Publication Time:
2014-01-10 15:23:02
Reporting Period:
2013-12-31
Filing Date:
2014-01-10
Accepted Time:
2014-01-10 15:23:02
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1521476 Scripsamerica Inc. SCRC Wholesale-Drugs, Proprietaries & Druggists' Sundries (5122) 262598594
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1535236 Michael Imperiale 1650 Tysons Boulevard
Suite 1580
Tysons Corner VA 22102
Yes No No 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, $.001 Par Value Disposition 2013-06-25 125,000 $0.19 12,000 No 4 S Direct
Common Stock, $.001 Par Value Acquisiton 2013-07-30 8,000 $0.00 20,000 No 4 A Direct
Common Stock, $.001 Par Value Acquisiton 2013-12-23 4,000 $0.00 24,000 No 4 A Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
No 4 A Direct
No 4 A Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option Acquisiton 2013-10-15 210,000 $0.00 210,000 $0.15
Common Stock Stock Option Acquisiton 2013-12-18 10,000 $0.00 10,000 $0.13
Common Stock Stock Option Acquisiton 2013-12-31 100,000 $0.00 100,000 $0.14
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
210,000 2013-10-15 2016-10-15 No 4 A Direct
10,000 2013-12-18 2016-12-18 No 4 A Direct
100,000 2013-12-31 2016-12-31 No 4 A Direct
Footnotes
  1. Grant of restricted shares of common stock to the Reporting Person for his attendance at board and/or committee meetings.
  2. Grant of stock option to the Reporting Person for his attendance at board and/or committee meetings.
  3. Grant of stock option to the Reporting Person for his service on the Issuer's board of directors during 2013.