Amended Statement of Changes in Beneficial Ownership (4/a)
25 Juin 2018 - 7:50PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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
*
Atkinson Matthew Hugh
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2. Issuer Name
and
Ticker or Trading Symbol
KonaTel, Inc.
[
KTEL
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
__
X
__ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Secretary
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(Last)
(First)
(Middle)
P. O. BOX 947
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3. Date of Earliest Transaction
(MM/DD/YYYY)
4/24/2018
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(Street)
CROSSLAKE, MN 56442
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
12/18/2017
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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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)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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4/24/2018
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J
(1)
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12100000
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D
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$0
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0
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I
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M2 Equity Partners LLC
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Common Stock
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4/24/2018
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J
(2)
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3950000
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A
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$0
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3950000
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Options
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$0.22
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3/18/2018
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3/18/2023
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Common Stock
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31250
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31250
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D
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Options
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$0.22
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6/18/2018
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6/18/2023
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Common Stock
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31250
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62500
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D
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Options
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$0.22
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9/18/2018
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9/18/2023
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Common Stock
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31250
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93750
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D
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Options
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$0.22
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12/18/2018
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12/18/2023
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Common Stock
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31250
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125000
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D
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Options
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$0.22
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3/18/2019
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3/18/2024
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Common Stock
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31250
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156250
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D
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Options
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$0.22
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6/18/2019
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6/18/2024
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Common Stock
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31250
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187500
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D
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Options
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$0.22
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9/18/2019
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9/18/2024
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Common Stock
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31250
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218750
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D
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Options
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$0.22
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12/18/2019
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12/18/2024
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Common Stock
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31250
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250000
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D
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Explanation of Responses:
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(1)
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On April 24, 2018, the 12,100,000 shares of our common stock that were acquired by M2 Equity Partners, LLC, under a Common Stock Purchase Agreement were distributed to its members, pro rata, in accordance with their respective membership interests. This action was approved by the requisite members of M2 Equity Partners, LLC, on April 9, 2018. All of these transferred shares remain subject to the Shareholder Voting Agreement and the Lock-Up/Leak-Out Agreement, see Exhibit 9 to the Amended Current Report on Form 8-K/A dated November 15, 2017, and filed with the Securities and Exchange Commission December 20, 2017.
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(2)
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Number of shares Mr. Atkinson received in the M2 Equity Partners LLC distribution on April 24, 2018. See Footnote 1.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Atkinson Matthew Hugh
P. O. BOX 947
CROSSLAKE, MN 56442
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X
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Secretary
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Signatures
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/s/ Matthew Atkinson
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6/18/2018
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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