Filing Details

Accession Number:
0001213900-15-001958
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-03-20 18:14:56
Reporting Period:
2015-03-04
Filing Date:
2015-03-20
Accepted Time:
2015-03-20 18:14:56
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1128725 Intercloud Systems Inc. ICLD Services-Business Services, Nec (7389) 650963722
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
926736 R Douglas Shooker 1416 North Donnelly
Mt. Dora FL 32757
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 2014-10-19 75,000 $0.00 994,228 No 4 P Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect See Footnote
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Convertible Promissory Note Acquisiton 2015-03-04 748,942 $11,238,272.00 748,942 $6.36
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
1,767,024 No 4 P Indirect
Footnotes
  1. Represents shares owned by Forward Investments LLC and the Reporting Person. The Reporting Person beneficially owns the shares held by Forward Investments LLC.
  2. Represents shares of common stock issued to Forward Investments LLC in connection with the restructuring of debt extended by Forward Investments LLC to the Issuer, in order to extend the maturity dates thereof, reduce the seniority and reduce the interest rate accruing thereon, as well as shares of common stock issued to Forward Investments LLC in lieu of cash interest.
  3. Immediately exercisable.
  4. Expiration dates range from July 1, 2016, to January 1, 2018.