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 ProtoKinetix, Inc. [ PKTX ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 07/15/2019 | ||||||||||||||||||||||||||
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(1) | 10,021,250 | D | ||||||||
Common Stock(1) | 1,125,600 | I | See footnote(2) |
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 | ||||||||
Warrant | $0.1 | 07/15/2019 | D | 6,000,000 | (3) | 04/22/2020 | Common Stock | 6,000,000 | $0.00 | 0 | D | ||||
Stock Option | $0.04 | 07/15/2019 | D | 5,000,000 | (4) | 02/28/2020 | Common Stock | 5,000,000 | $0.00 | 0 | D | ||||
Stock Option | $0.08 | 07/15/2019 | D | 5,000,000 | (5) | 12/31/2019 | Common Stock | 5,000,000 | $0.00 | 0 | D | ||||
Warrant | $0.26 | 07/15/2019 | A | 6,000,000 | 07/15/2019 | 07/14/2024 | Common Stock | 6,000,000 | $0.00 | 6,000,000 | D | ||||
Stock Option | $0.26 | 07/15/2019 | A | 5,000,000 | (6) | 07/14/2024 | Common Stock | 5,000,000 | $0.00 | 5,000,000 | D | ||||
Stock Option | $0.26 | 07/15/2019 | A | 5,000,000 | (6) | 07/14/2024 | Common Stock | 5,000,000 | $0.00 | 5,000,000 | D | ||||
Stock Option | $0.11 | 11/18/2019 | A | 5,000,000 | (7) | 11/17/2024 | Common Stock | 5,000,000 | $0.00 | 5,000,000 | D | ||||
Stock Opton | $0.09 | (8) | 11/08/2023 | Common Stock | 5,000,000 | 5,000,000 | D | ||||||||
Stock Option | $0.06 | (9) | 08/31/2021 | Common Stock | 5,000,000 | 5,000,000 | D | ||||||||
Stock Option | $0.05 | (10) | 12/31/2020 | Common Stock | 5,000,000 | 5,000,000 | D |
Explanation of Responses: |
1. A total of 4,296,850 shares were inadvertently omitted from prior Section 16 reports; 3,171,250 owned by Mr. Young directly, and 1,125,600 owned by his wife. |
2. Owned by Mr. Young's wife. |
3. Cancellation of warrant with no value received. |
4. Cancellation of option with no value received. Options issued pursuant to the 2015 Stock Option and Stock Bonus Plan on March 1, 2015. 1,250,000 shares of common stock vested March 1, 2015; thereafter 1,250,000 vested every three months and became fully vested on December 1, 2015 |
5. Cancellation of option with no value received. Options issued pursuant to the 2015 Stock Option and Stock Bonus Plan on January 1, 2016. 1,250,000 shares of common stock vested on March 31, 2016; thereafter 1,250,000 shares vested every three months and became fully vested on December 31, 2016. |
6. Options issued pursuant to the Company's Amended 2017 Stock Option and Stock Bonus Plan on July 15, 2019. 1,250,000 shares of common stock vest on October 13, 2019; thereafter 1,250,000 shares vest every three months. |
7. Options issued pursuant to the Company's Amended 2017 Stock Option and Stock Bonus Plan on November 18, 2019. 1,250,000 shares of common stock vest on February 18, 2020; thereafter 1,250,000 shares vest every three months until fully vested. |
8. Options issued pursuant to the Amended 2017 Stock Option and Stock Bonus Plan on November 9, 2018. 1,250,000 shares of common stock vest March 31, 2019; thereafter 1,250,000 shall vest every three months. |
9. Options issued pursuant to the 2017 Stock Option and Stock Bonus Plan on September 1, 2017. 1,250,000 shares of common stock vested on December 31, 2017; thereafter 1,250,000 vested every three months and became fully vested on September 30, 2018. |
10. Options issued pursuant to the 2017 Stock Option and Stock Bonus Plan on January 1, 2017. 1,250,000 shares of common stock vested March 31, 2017; thereafter 1,250,000 vested every three months and became fully vested on December 31, 2017. |
/s/ Lachlan Grant Young | 11/24/2019 | |
** 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. |