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
- 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.
- 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.
- Represents Secured Senior Subordinated Convertible Promissory Notes of the Issuer (the "Convertible Notes") owned directly by The Andrew M. Heller 2009 GRAT (the "GRAT").
- 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.
- Represents warrants exercisable for shares of common stock of the Issuer to be issued to the GRAT upon the conversion of the Convertible Notes.
- 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.
- 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.
- 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.
- 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.
- 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.