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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Convertable Preferred stock | (1) | 02/14/2018 | J(2) | 465,116.279 | (1) | (1) | Common Stock | 1,000,000 (1) | $ 0.3225 | 465,116.279 | D | ||||
Series A convertible preferred stock | (1) | 02/14/2018 | J(3) | 1,534,883.721 | (1) | (1) | Common Stock | 3,300,000 (1) | $ 0.3225 | 1,534,883.721 | I (4) | By profit sharing plan |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DEPIANO RICHARD J 435 DEVON PARK DRIVE SUITE 100 WAYNE, PA 19087 |
X | X |
Richard DePiano | 02/16/2018 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Each share of Series A convertible preferred stock is convertible into 2.15 shares of Escalon common stock and has no expiration date. |
(2) | Reporting person acquired these shares in exchange for the cancellation of a promissory note in the principal amount of $150,000 owed by Escalon to him. |
(3) | Reporting person acquired these shares indirectly in exchange for the cancellation of a promissory note in the principal amount of $495,000 owed by Escalon to DP Associates Inc Profit Sharing Plan. |
(4) | These shares are owned by DP Associates Inc Profit Sharing Plan of which the reporting person is the sole owner and sole trustee. |