Filing Details
- Accession Number:
- 0001179110-16-032830
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2016-12-12 17:03:35
- Reporting Period:
- 2016-05-03
- Filing Date:
- 2016-12-12
- Accepted Time:
- 2016-12-12 17:03:35
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1356093 | Creative Realities Inc. | CREX | () | 4 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1215270 | J Eric Bertrand | Lincoln Road Media Partners Llc 444 Brickell Ave Suite 900 Miami FL 33131 | 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 | Acquisiton | 2016-09-08 | 19,000 | $0.15 | 19,000 | 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 | Secured Convertible Promissory Note | Acquisiton | 2016-05-03 | 2,110,371 | $500,000.00 | 2,110,371 | $0.00 |
Common Stock | Warrants to purchase common stock | Acquisiton | 2016-05-03 | 892,857 | $0.00 | 892,857 | $0.28 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
2,110,371 | 2016-05-03 | 2017-10-15 | No | 4 | P | Indirect |
892,857 | 2016-05-03 | 2021-05-03 | No | 4 | P | Indirect |
Footnotes
- Purchase involved a Secured Convertible Promissory Note for $500,000, which is convertible into approximately 2,110,371 shares of Common Stock; and a Warrant to purchase 892,857 shares of Common Stock. The Warrant contains provisions blocking exercise if such exercise would result in the purchaser holding more than 4.99% of the Issuer's shares outstanding.
- The Reporting Person is a principal of Lincoln Road Media Partners LLC and has voting and investment power for this entity.