4//SEC Filing
Medytox Solutions, Inc. 4
Accession 0001019687-15-001603
CIK 0001374536operating
Filed
Apr 23, 8:00 PM ET
Accepted
Apr 24, 4:53 PM ET
Size
21.9 KB
Accession
0001019687-15-001603
Insider Transaction Report
Form 4
FORHAN WILLIAM
DirectorCEO and Chairman10% Owner
Transactions
- Other
Common Stock
2012-12-27−4,449,975→ 2,500,025 total - Award
Options to Purchase Common Stock
2012-10-01+1,000,000→ 1,000,000 totalExercise: $10.00From: 2012-10-01Exp: 2022-12-31→ Common Stock (1,000,000 underlying) - Award
Restricted Stock
2014-03-13+30,000→ 2,483,101 total - Award
Options to Purchase Common Stock
2012-10-01+1,000,000→ 1,000,000 totalExercise: $2.50From: 2012-10-01Exp: 2017-12-21→ Common Stock (1,000,000 underlying) - Gift
Common Stock
2012-12-28−100,000→ 2,400,025 total - Other
Common Stock
2013-12-31+53,076→ 2,453,101 total - Other
Common Stock
2014-09-11$0.00/sh−1,241,550$124→ 1,241,551 total - Other
Series C Preferred Stock
2013-12-31−261,147→ 0 total - Award
Options to Purchase Common Stock
2012-10-01+1,000,000→ 1,000,000 totalExercise: $5.00From: 2012-10-01Exp: 2017-12-31→ Common Stock (1,000,000 underlying) - Other
Series C Preferred Stock
2012-12-27+261,147→ 261,147 total
Footnotes (4)
- [F1]Represents shares of Common Stock cancelled by the Issuer and the issuance by Issuer of shares of Series C Preferred Stock.
- [F2]Represents shares of Common Stock issued upon conversion of shares of Series C Preferred Stock, pursuant to the terms of the Series C Preferred Stock
- [F3]Represents options to purchase shares of Common Stock granted in connection with the Reporting Person entering into an employment agreement with the Issuer. Pursuant to the terms of the Agreement for the Retirement as CEO and Release of any and all Claims, effective September 11, 2014, by and between the Issuer and the Reporting Person, the expiration date of the options was changed to August 31, 2016. The Reporting Person ceased serving as the Issuer's CEO and Chairman as of September 11, 2014.
- [F4]Pursuant to the terms of the Agreement for the Retirement as CEO and Release of any and all Claims, effective September 11, 2014, by and between the Issuer and the Reporting Person, the Reporting Person agreed to the cancellation of 1,241,550 shares of the Issuer's Common Stock. The value ascribed to the cancellation of such shares was the par value thereof.
Documents
Issuer
Medytox Solutions, Inc.
CIK 0001374536
Entity typeoperating
Related Parties
1- filerCIK 0001374536
Filing Metadata
- Form type
- 4
- Filed
- Apr 23, 8:00 PM ET
- Accepted
- Apr 24, 4:53 PM ET
- Size
- 21.9 KB