UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Options | 05/05/2016(1) | 05/05/2021 | Common Stock | 12,000 | $ 2.95 | D | Â |
Stock Options | 11/09/2017(2) | 11/09/2023 | Common Stock | 38,000 | $ 4.74 | D | Â |
Stock Options | 04/24/2017(3) | 04/24/2024 | Common Stock | 100,000 | $ 2.76 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Blanche Michael Jon C/O SITO MOBILE LTD. 100 TOWN SQUARE PLACE, SUITE 204 JERSEY CITY, NJ 07301 |
 |  |  Chief Technology Officer |  |
/s/ Michael Blanche | 05/03/2017 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The options were granted on May 5, 2016 and vests as follows: 1/3 vested immediately on grant, 1/3 on first anniversary of grant and 1/3 on second anniversary of grant. |
(2) | The options were granted on November 9, 2016 and vests as follows: 1/3 vested immediately on grant, 1/3 on first anniversary of grant and 1/3 on second anniversary of grant. |
(3) | The options were granted on April 24, 2017 and vests as follows: 1/3 vested immediately on grant, 1/3 on first anniversary of grant and 1/3 on second anniversary of grant. |