Medytox Solutions, Inc. 4
4 · Medytox Solutions, Inc. · Filed Apr 24, 2015
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.