SEC Form 4
FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
| |||||||||||||||
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol CACHET FINANCIAL SOLUTIONS, INC. [ CAFN ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| ||||||||||||||||||||||||
3. Date of Earliest Transaction (Month/Day/Year) 06/01/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common stock | 06/01/2015 | P | 1,301,717 | A | $0.00 | 2,372,900 | I | See footnote(1) | ||
Common stock | 06/08/2015 | P | 600 | A | $0.3992 | 2,373,500 | I | See footnote(1) | ||
Common stock | 06/09/2015 | P | 715 | A | $0.4 | 2,374,215 | I | See footnote(1) | ||
Common stock | 06/10/2015 | P | 12,500 | A | $0.366 | 2,386,715 | I | See footnote(1) | ||
Common stock | 06/12/2015 | P | 102 | A | $0.51 | 2,386,817 | I | See footnote(1) | ||
Common stock | 06/16/2015 | P | 398 | A | $0.46 | 2,387,215 | I | See footnote(1) | ||
Common stock | 06/22/2015 | P | 2,000 | A | $0.42 | 2,389,215 | I | See footnote(1) | ||
Common stock | 06/23/2015 | P | 2,000 | A | $0.4499 | 2,391,215 | I | See footnote(1) | ||
Common stock | 06/24/2015 | P | 9,000 | A | $0.4058 | 2,400,215 | I | See footnote(1) | ||
Common stock | 06/25/2015 | P | 6,000 | A | $0.4 | 2,406,215 | I | See footnote(1) | ||
Common stock | 06/30/2015 | P | 2,000 | A | $0.465 | 2,408,215 | I | See footnote(1) | ||
Common stock | 07/01/2015 | P | 500 | A | $0.5999 | 2,408,715 | I | See footnote(1) | ||
Common stock | 07/02/2015 | P | 500 | A | $0.4799 | 2,409,215 | I | See footnote(1) | ||
Common stock | 07/08/2015 | P | 1,000 | A | $0.4 | 2,410,215 | I | See footnote(1) | ||
Common stock | 07/10/2015 | P | 1,000 | A | $0.39 | 2,411,215 | I | See footnote(1) | ||
Common stock | 07/13/2015 | P | 1,000 | A | $0.35 | 2,412,215 | I | See footnote(1) | ||
Common stock | 07/14/2015 | P | 2,802 | A | $0.3583 | 2,415,017 | I | See footnote(1) | ||
Common stock | 07/22/2015 | P | 500 | A | $0.4399 | 2,415,517 | I | See footnote(1) | ||
Common stock | 07/23/2015 | P | 1,000 | A | $0.45 | 2,416,517 | I | See footnote(1) | ||
Common stock | 07/27/2015 | P | 800 | A | $0.4463 | 2,417,317 | I | See footnote(1) | ||
Common stock | 07/28/2015 | P | 2,000 | A | $0.4075 | 2,419,317 | I | See footnote(1) | ||
Common stock | 08/03/2015 | P | 1,000 | A | $0.4 | 2,420,317 | I | See footnote(1) | ||
Common stock | 08/04/2015 | P | 500 | A | $0.43 | 2,420,817 | I | See footnote(1) | ||
Common stock | 08/05/2015 | P | 500 | A | $0.43 | 2,421,317 | I | See footnote(1) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Convertible preferred stock | $0.45 | 06/03/2015 | P | 2,500 | 06/03/2015 | 06/03/2020 | Common stock | 555,556 | (2) | 2,500 | I | See footnote(1) | |||
Warrant to purchase common stock | $0.4816 | 06/03/2015 | P | 571,038 | 06/03/2015 | 06/03/2020 | Common stock | 571,038 | (2) | 571,038 | I | See footnote(1) |
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
|
Explanation of Responses: |
1. Tiburon Opportunity Fund, L.P. (the "Stockholder"), Bortel Investment Management LLC (the "General Partner"), and Peter Bortel are collectively referred to herein as the "Reporting Persons." The Stockholder directly owns the securities reported herein. The General Partner is the general partner of the Stockholder. Mr. Bortel is the managing member of the General Partner and controls the General Partner's activities. The General Partner and Mr. Bortel may be deemed to have beneficial ownership of the securities reported herein. |
2. Tiburon Opportunity Fund, L.P. effected a private purchase for $250,000 of 2,500 shares of convertible preferred stock (convertible into 555,556 shares of common stock) and a warrant to purchase 571,038 shares of common stock. |
/s/ Peter Bortel, as managing member of general partner of Tiburon Opportunity Fund, L.P. | 08/25/2015 | |
/s/ Peter Bortel, as managing member of Bortel Investment Management LLC | 08/25/2015 | |
/s/ Peter Bortel | 08/25/2015 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |