Filing Details
- Accession Number:
- 0001385150-17-000001
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2017-01-18 15:10:50
- Reporting Period:
- 2017-01-17
- Filing Date:
- 2017-01-18
- Accepted Time:
- 2017-01-18 15:10:50
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1001463 | Acacia Diversified Holdings Inc. | ACCA | Wholesale-Motor Vehicles & Motor Vehicle Parts & Supplies (5010) | 752095676 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 1385150 | L Steven Sample | 3512 E. Silver Springs Blvd - #243 Ocala FL 34470 | No | No | No | Yes |
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 | Disposition | 2017-01-17 | 2,500,000 | $0.00 | 1,529,721 | No | 4 | S | Direct | |
| Common Stock | Acquisiton | 2017-01-17 | 132,248 | $0.00 | 1,661,969 | No | 4 | J | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | S | Direct | |
| No | 4 | J | Direct |
Footnotes
- Reporting Person consummated his obligation to sell 2,500,000 shares of his personal restricted common stock of the Issuer to the current CEO of Issuer under the terms of a Right of Refusal to Purchase Shares of Common Stock at par value executed on January 15, 2016. The CEO, as purchaser, completed the purchase transaction on 1/17/2017. Following this disposition of Reporting Person's shares, Reporting Person was no longer a shareholder of 10% or more of the Issuers issued and outstanding common shares as of the sale date.
- Reporting Person consummated his obligation to sell 2,500,000 shares of his personal restricted common stock of the Issuer to the current CEO of Issuer under the terms of a Right of Refusal to Purchase Shares of Common Stock at par value executed on January 15, 2016. The CEO, as purchaser, completed the purchase transaction on 1/17/2017. Following this disposition of Reporting Person's shares, Reporting Person was no longer a shareholder of 10% or more of the Issuers issued and outstanding common shares as of the sale date.
- Pursuant to the Right of First Refusal to Purchase Common Stock given to incoming CEO of Issuer at closing of the acquisition on January 15, 2016, Reporting Person was obligated to sell said shares at par value.
- Reporting Person consummated his obligation to sell 2,500,000 shares of his personal restricted common stock of the Issuer to the current CEO of Issuer under the terms of a Right of Refusal to Purchase Shares of Common Stock at par value executed on January 15, 2016. The CEO, as purchaser, completed the purchase transaction on 1/17/2017. Following this disposition of Reporting Person's shares, Reporting Person was no longer a shareholder of 10% or more of the Issuers issued and outstanding common shares as of the sale date.
- On January 12, 2017 the Board of Directors of Issuer resolved to issued 132,248 shares of its restricted common stock to Reporting Person under the terms of an Anti-Dilution Agreement to which Issuer and Reporting Person were parties. On January 17, 2017, Reporting Person resigned as employee and Director of Issuer, and Issuer simultaneously agreed to Issue the anti-dilutive shares. It is anticipated that the shares will be issued on or about January 26, 2017. Reporting Person has elected to report that transaction herewith to give effect to his best efforts in maintaining transparency. The issuance of the anti-dilutive shares will not cause the Reporting Person to own 10% or more of the Issuer's issued and outstanding shares, and Reporting Person will become a "non-affiliate" of the Issuer after the mandatory 90 day period following these events. The Anti-Dilution Agreement was terminated on January 17, 2017 by agreement of the parties.
- The Anti-Dilution Agreement by and between the Issuer and the Reporting Person under which these shares were issued called for the Reporting Person to pay par value for the shares acquired. The Anti-Dilution Agreement was terminated on January 17, 2017 by agreement of the parties.
- Reporting Person disclaims any beneficial ownership in securities held by others, and disclaims beneficial ownership of any person in his securities.
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