Filing Details

Accession Number:
0001405086-15-000009
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-01-08 12:10:38
Reporting Period:
2012-08-24
Filing Date:
2015-01-08
Accepted Time:
2015-01-08 12:10:38
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1294157 Dr. Tattoff Inc. (NONE) Services-Misc Health & Allied Services, Nec (8090) 200594204
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1556025 Grat 2009 Heller M. Andrew C/O Commonwealth Trust Company
29 Bancroft Mills Road, 2Nd Fl.
Wilmington DE 19806
No No Yes No
1629214 W. Brett Dixon 6 Saint James Place
Norwalk CT 06853
No No Yes No
1629895 M. Andrew Heller C/O The Andrew M. Heller 2009 Grat
29 Bancroft Mills Road, 2Nd Floor
Wilmington DE 19806
No No 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 2014-06-01 125,000 $0.00 1,655,613 No 4 P Indirect SEE FOOTNOTE
Common Stock Acquisiton 2014-08-01 125,000 $0.00 1,780,613 No 4 P Indirect SEE FOOTNOTE
Common Stock Acquisiton 2014-10-01 250,000 $0.00 2,030,613 No 4 P Indirect SEE FOOTNOTE
Common Stock Acquisiton 2015-01-02 500,000 $0.00 2,530,613 No 4 P Indirect SEE FOOTNOTE
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect SEE FOOTNOTE
No 4 P Indirect SEE FOOTNOTE
No 4 P Indirect SEE FOOTNOTE
No 4 P Indirect SEE FOOTNOTE
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrants Acquisiton 2012-08-24 0 $0.00 400,000 $0.49
Common Stock Secured Senior Subordinated Convertible Promissory Note Acquisiton 2013-05-31 0 $200,000.00 307,692 $0.65
Common Stock Secured Senior Subordinated Convertible Promissory Note Acquisiton 2013-05-31 0 $200,000.00 307,692 $0.65
Common Stock Warrants Acquisiton 2013-05-31 76,924 $0.00 76,924 $0.78
Common Stock Warrants Acquisiton 2013-05-31 76,924 $0.00 76,924 $0.78
Common Stock Warrants Acquisiton 2013-12-31 230,769 $0.00 230,769 $0.78
Common Stock Warrants Acquisiton 2013-12-31 230,769 $0.00 230,769 $0.78
Common Stock Warrants Acquisiton 2014-04-07 250,000 $0.00 250,000 $0.65
Common Stock Warrants Disposition 2014-06-01 250,000 $0.00 250,000 $0.65
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2012-08-24 2017-07-31 No 4 P Direct
0 2013-05-31 No 4 P Direct
0 2013-05-31 No 4 P Indirect
76,924 2018-05-31 No 4 P Direct
76,924 2018-05-31 No 4 P Indirect
307,693 2013-12-31 2018-05-31 No 4 P Direct
307,693 2013-12-31 2018-05-31 No 4 P Indirect
250,000 2014-04-07 2019-04-07 No 4 P Indirect
0 2014-04-07 2019-04-07 No 4 P Indirect
Footnotes
  1. Represents shares of common stock of Dr. Tattoff, Inc. (the "Issuer") owned indirectly by Andrew M. Heller ("Mr. Heller"). Such shares are held directly by Heller Lending, LLC ("Heller Lending"). Mr. Heller is a Manager and the sole member of Heller Lending and may be deemed to have beneficial ownership of such shares. The shares were acquired from the Issuer in exchange for certain warrants previously issued to Heller Lending in connection with an Unsecured Interim Term Promissory Note (the "Promissory Note"). Mr. Heller disclaims beneficial ownership (as defined in Rule 16a-1(a)(2)) of the Common Stock (except to the extent of his pecuniary interest in such securities), and this report shall not be deemed an admission that Mr. Heller is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
  2. Represents warrants exercisable for shares of common stock of the Issuer owned directly by Mr. Heller. Such warrants were acquired by Mr. Heller from the Issuer as compensation for certain consulting services provided by Mr. Heller to the Issuer.
  3. Represents Secured Senior Subordinated Convertible Promissory Notes of the Issuer (the "Convertible Notes") owned directly by The Andrew M. Heller 2009 GRAT (the "GRAT").
  4. Represents Convertible Notes owned indirectly by Mr. Heller. The Convertible Notes are owned directly by the GRAT. Mr. Heller is the settlor of and beneficiary of the GRAT and may be deemed to have beneficial ownership of the Convertible Notes. Mr. Heller disclaims beneficial ownership (as defined in Rule 16a-1(a)(2)) of the Convertible Notes (except to the extent of his pecuniary interest in such securities), and this report shall not be deemed an admission that Mr. Heller is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
  5. Represents warrants exercisable for shares of common stock of the Issuer to be issued to the GRAT upon the conversion of the Convertible Notes.
  6. Represents warrants exercisable for shares of common stock of the Issuer to be owned indirectly by Mr. Heller. Such warrants are to be issued to the GRAT upon the conversion of the Convertible Notes.
  7. Represents additional warrants exercisable for shares of common stock of the Issuer to be issued to the GRAT upon the conversion of the Convertible Notes. The right of the GRAT to receive these additional warrants upon such exercise was created in connection with an adjustment of the terms of the Convertible Notes.
  8. Represents additional warrants exercisable for shares of common stock of the Issuer to be issued to the GRAT upon the conversion of the Convertible Notes and to be owned indirectly by Mr. Heller. These warrants will be owned directly by the GRAT. The right of the GRAT to receive these additional warrants upon such exercise was created in connection with an adjustment of the terms of the Convertible Notes.
  9. Represents warrants exercisable for shares of common stock of the Issuer owned indirectly by Mr. Heller. These warrants are held directly by Heller Lending. These warrants were issued in connection with the issuance to Heller Lending of a Short Term Unsecured Promissory Note by the Issuer.
  10. Represents warrants exercisable for shares of common stock of the Issuer owned indirectly by Mr. Heller. These warrants were held directly by Heller Lending. These warrants were issued in connection with the issuance to Heller Lending of a Short Term Unsecured Promissory Note by the Issuer. These warrants were converted into shares of common stock of the Issuer.