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 |
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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 BLACKSTAR ENTERPRISE GROUP, INC. [ BEGI ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 06/14/2017 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | 06/14/2017 | M(1) | 1,440,000 | A | $0.05 | 1,440,000 | D | |||
Common Stock | 06/14/2017 | M(1) | 720,000 | A | $0.05 | 720,000 | I | As an Officer of Patriot Mtg. Acceptance Corp. | ||
Common Stock | 06/14/2017 | M(2) | 1,296,000 | A | $0.05 | 45,696,000 | I | As an Officer and Director of International Hedge Group, Inc. | ||
Common Stock | 06/14/2017 | M(2) | 1,296,000 | D | $0.05 | 44,400,000 | I | As an Officer and Director of International Hedge Group, Inc. | ||
Common Stock | 09/29/2017 | M(3) | 16,420,000 | D | $0 | 27,980,000 | I | As an Officer and Director of International Hedge Group, Inc. |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 | ||||||||
Warrants | $0.05 | 06/14/2017 | M(1) | 1,500,000 | 08/30/2016 | 08/30/2019 | Common Stock | 1,500,000 | $0.05 | 1,500,000 | D | ||||
Warrants | $0.05 | 06/14/2017 | M(1) | 750,000 | 08/30/2016 | 08/30/2019 | Common Stock | 750,000 | $0.05 | 750,000 | I | As an Officer of Patriot Mtg. Acceptance Corp. | |||
Warrants | $0.05 | 06/14/2017 | M(2) | 1,350,000 | 08/30/2016 | 08/30/2019 | Common Stock | 1,350,000 | $0.05 | 1,350,000 | I | As an Officer and Director of International Hedge Group, Inc. |
Explanation of Responses: |
1. Mr. Kurczodyna exercised 1,500,000 warrants in a cashless exercise @ $0.05 per share on June 14, 2017, resulting in 1,440,000 shares of common stock, thereby changing their shareholdings reflected in this amendment. In addition, Patriot Mortgage Acceptance Corp., of which Mr. Kurczodyna is an officer, exercised 750,000 warrants in a cashless exercise @ $0.05 per share on June 14, 2017, resulting in 720,000 shares of common stock. |
2. The cashless exercise of 1,350,000 warrants by International Hedge Group, Inc. resulted in 1,296,000 shares of common stock, which were assigned in part to THL Holdings, LLC (960,000), with the remainder being assigned to three other non-affiliate shareholders. |
3. On September 29, 2017, International Hedge Group, Inc. retired 16,420,000 shares to treasury. |
/s/ Joseph E. Kurczodyna | 02/15/2018 | |
** 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. |