SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 03/12/2015 | 3. Issuer Name and Ticker or Trading Symbol CROSSROADS SYSTEMS INC [ CRDS ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
---|---|---|---|
1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 46,739 | D | |
Common Stock | 10,870 | I | By: MCH Advisors, Inc.(1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Option (right to buy) | (2) | 12/12/2022 | Common Stock | 10,000 | 2.95 | D | |
Option (right to buy) | (3) | 01/31/2023 | Common Stock | 30,000 | 2.22 | D | |
Option (right to buy) | (4) | 06/13/2023 | Common Stock | 50,000 | 2.1 | D | |
Option (right to buy) | (5) | 10/01/2024 | Common Stock | 90,000 | 2.75 | D | |
Common Stock Warrants (right to buy) | (6) | 01/30/2020 | Common Stock | 5,435 | 2.76 | D |
Explanation of Responses: |
1. Shares are held by MCH Advisors, Inc. ("MCH"). Mr. Hood, who together with his spouse is the sole shareholder of MCH, shares voting and dispositive power over the shares held by MCH. Mr. Hood disclaims beneficial ownership of the shares held by MCH except to the extent of his pecuniary interest therein. |
2. The options are fully vested. |
3. The options vest over a four year period as follows: 7,500 options vested on January 31, 2014, and 1,875 options vest quarterly thereafter until all options are fully vested on January 31, 2017. |
4. The options vest over a two year period as follows: 12,500 options vested on December 13, 2013, and 6,250 options vest quarterly thereafter until all options are fully vested on June 13, 2015. |
5. The options vest over a four year period as follows: 22,500 options vest on October 1, 2015, and 5,625 options vest quarterly thereafter until all options are fully vested on October 1, 2018. |
6. The warrants reported herein are exercisable beginning July 30, 2015, subject to certain ownership limitations set forth therein. |
/s/ Mark C. Hood | 03/20/2015 | |
** 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 5 (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. |