SEC Form 5
FORM 5 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL 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). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Bravo Multinational Inc. [ BRVO ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| ||||||||||||||||||||||||
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year) 12/31/2016 | ||||||||||||||||||||||||||
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 at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock(1) | 09/03/2016 | A | 1,470,588(2) | A | $0.017 | 39,213,461(2) | D | ||||||||
Common Stock | 10/03/2016 | J(3) | 34,725,323(2) | D | $0.0325 | 4,488,138(2) | D | ||||||||
Common Stock | 10/17/2016 | S | 3,639,197(2)(4)(5) | D | $0.0159 | 848,941(2) | I | Parliament Corporation(4) | |||||||
Common Stock | 12/14/2016 | S | 390,000(2) | D | $0.006 | 458,941(2) | D | ||||||||
Common Stock | 12/19/2016 | S | 458,941(2) | D | $0.005 | 0 | D | ||||||||
Common Stock | 04/06/2017 | A | 73,530(6) | A | $0.51 | 73,530(6) | D | ||||||||
Common Stock | 04/27/2017 | P | 2,249(6) | A | $1.05 | 75,779(6) | I | Parliament Corporation(4) | |||||||
Common Stock | 05/05/2017 | P | 2,433(6) | A | $1.1 | 78,212(6) | I | Parliament Corporation(4) | |||||||
Common Stock | 05/31/2017 | P | 683(6) | A | $1.16 | 78,895(6) | I | Parliament Corporation(4) | |||||||
Common Stock | 06/09/2017 | P | 1,433(6) | A | $1.4 | 80,328(6) | I | Parliament Corporation(4) | |||||||
Common Stock | 06/14/2017 | P | 1,021(6) | A | $1.6 | 81,349(6) | I | Parliament Corporation(4) | |||||||
Common Stock | 06/26/2017 | S | 420(6) | D | $2.8 | 80,929(6) | D | ||||||||
Common Stock | 06/29/2017 | S | 1,308(6) | D | $3.1 | 79,621(6) | D | ||||||||
Common Stock | 07/31/2017 | P | 267(6) | A | $1.1 | 79,888(6) | I | Parliament Corporation(4) | |||||||
Common Stock | 08/02/2017 | P | 2,000(6) | A | $1.02 | 81,888(6) | I | Parliament Corporation(4) | |||||||
Common Stock(1) | 08/06/2017 | A | 392,157(1)(6) | A | $0.51 | 474,045(6) | D | ||||||||
Common Stock(1) | 08/06/2017 | A | 87,666(1)(6) | A | $0.85 | 561,711(6) | D | ||||||||
Common Stock | 08/28/2017 | S | 638 | D | $1.69 | 561,073(6) | D | ||||||||
Common Stock | 08/29/2017 | S | 575 | D | $1.8 | 560,498(6) | D | ||||||||
Common Stock | 08/29/2017 | S | 950 | D | $1.61 | 559,548(6) | D | ||||||||
Common Stock | 09/06/2017 | S | 400 | D | $1.26 | 559,148(6) | D | ||||||||
Common Stock | 09/07/2017 | S | 1,290 | D | $1.25 | 557,858(6) | D | ||||||||
Common Stock | 09/08/2017 | S | 1,362 | D | $1.11 | 556,496(6) | D | ||||||||
Common Stock | 09/22/2017 | P | 710 | A | $1.02 | 557,206(6) | I | Parliament Corporation(4) | |||||||
Common Stock(1) | 09/28/2017 | A | 35,295(1) | A | $0.85 | 592,501(6) | D | ||||||||
Common Stock | 09/27/2017 | P | 270 | A | $1.03 | 592,771(6) | I | Parliament Corporation(4) | |||||||
Common Stock | 10/03/2017 | P | 200 | A | $1 | 592,971(6) | I | Parliament Corporation(4) | |||||||
Common Stock | 10/06/2017 | P | 300 | A | $0.99 | 593,271(6) | I | Parliament Corporation(4) |
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) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Class A Convertable Preferred | $0.1 | 03/25/2015 | 06/18/2017 | J(7) | 1,500,000(7) | 03/25/2015 | 06/18/2017 | Common Shares | 15,000,000 | $0.1 | 0 | D |
Explanation of Responses: |
1. Shares issued under S-8 registration for compensation per employment agreement. |
2. Shares listed pre-split prior to 300:1 reverse stock split April 3, 2017 |
3. Promissory note issued, share returned to corporate treasury. |
4. Parliament Corporation is a private entity under the control of Mr. Paul Parliament |
5. From October 17, 2016 through November 17, 2016 the Parliament Corporation sold a total of 3,639,197 shares at a weight average price of $0.0159 per share. |
6. Shares listed post-split after a 300:1 reverse stock split on April 3, 2017 |
7. Each Series A Preferred has voting rights to 100 shares of common shares and conversion rights to 10 shares of common shares. If holder decides on complete liquidation of the Series A its liquidation value is $0.10. On June 18, 2017 the board of directors and all shareholders of the Series A decided to return the shares to Company's treasury, no monetary transaction occurred. |
/s/Paul Parliament | 10/17/2017 | |
** 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. |