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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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. | |||
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. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Notes convertible into common shares | $ 1.25 | 03/11/2013 | A | 16,625,397 | 03/11/2013 | 03/11/2016 | Common Stock | 16,625,397 | (7) | 16,625,397 | I | See Footnote 4 (4) | |||
Warrants (right to buy) | $ 1 (6) | 03/11/2013 | A | 10,000,000 | 03/11/2013 | 03/11/2018 | Common Stock | 10,000,000 | (2) | 10,000,000 | I | See Footnote 2 (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SILLERMAN ROBERT F X C/O VIGGLE INC. 902 BROADWAY, 11TH FLOOR NEW YORK, NY 10010 |
X | X | Exec Chair and Chief Exec Off |
/s/ Robert F.X. Sillerman | 03/13/2013 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | 8,312,699 shares issued in connection with the exchange of an existing $20,000,000 line of credit note (with interest) into a new convertible note. |
(2) | Owned by Sillerman Investment Company II, LLC |
(3) | Owned through Laura Baudo Sillerman, Mr. Sillerman's spouse |
(4) | Owned through Sillerman Investment Company, LLC |
(5) | The restricted stock units vest over a period of three years, with 33 1/3% vesting on each of February 24, 2014, 2015, and 2016 |
(6) | Warrants to purchase 10,000,000 shares of common stock, par value $0.001 per share of the Issuer at an exercise price of $1.00 per share (as adjusted in the event of stock splits and combination, reclassification, or merger or consolidation, in accordance with Section 7 of the warrant) were issued to Sillerman Investment Company II in connection with the guarantee of a line of credit provided to the Issuer by Deutsche Bank Trust Company Americas in the amount of up to $10,000,000. |
(7) | The Reporting Person holds $20,781,746.58 of debt that is convertible into shares of the Common Stock of Issuer at $1.25 per share, which conversion price is subject to a weighted average antidilution provision in the event the Company makes certain dilutive subsequent placements at an effective price of less than $1.25 per share. |
Remarks: The Reporting Person disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein. |