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 |
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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 07/01/2016 | 3. Issuer Name and Ticker or Trading Symbol SQL Technologies Corp. [ SQFL ] | |||||||||||||
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)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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, no par value(1) | 100,000 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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 | ||||
Options(2) | 11/15/2015 | 11/15/2025 | Common Stock, no par value | 200,000 | 0.6 | D | |
Options(2) | 11/15/2016 | 11/15/2025 | Common Stock, no par value | 150,000 | 1.2 | D | |
Options(2) | 11/15/2017 | 11/15/2025 | Common Stock, no par value | 150,000 | 1.8 | D |
Explanation of Responses: |
1. These shares were issued to Ms. Barron prior to the Company's registration of its Common Stock under Section 12(g) of the Securities Exchange Act of 1934, as amended. |
2. Pursuant to the Company's 2015 Stock Incentive Plan, on November 15, 2015, Ms. Barron was awarded options to purchase up to 500,000 shares of the Company's Common Stock according to the following vesting schedule: (i) options to purchase 200,000 shares at an exercise price of $0.60 per share vested on 11/15/2015; (ii) options to purchase 150,000 shares at an exercise price of $1.20 per share vested on 11/15/2016; and (iii) options to purchase 150,000 shares at an exercise price of $1.80 per share will vest on 11/15/2017. |
/s/ Patricia Ann Barron | 04/27/2017 | |
** 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 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. |