Annual Statement of Changes in Beneficial Ownership (5)
14 4월 2022 - 7:56AM
Edgar (US Regulatory)
FORM 5
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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).
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Form 3 Holdings Reported
[X]
Form 4 Transactions Reported |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0362
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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
*
Remillard Jason L M | 2. Issuer Name and Ticker or Trading SymbolData443 Risk Mitigation, Inc. [ATDS] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) President; CEO; Secretary |
(Last)
(First)
(Middle)
101 J. MORRIS COMMONS LANE | 3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) 12/31/2021 |
(Street)
MORRISVILLE, NC 27560
(City)
(State)
(Zip)
| 4. If Amendment, Date Original Filed(MM/DD/YYYY) | 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) | 2. Trans. Date | 2A. Deemed Execution Date, if any | 3. Trans. 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) |
Amount | (A) or (D) | Price |
Series A Preferred Stock | 11/15/2017 | | J4 (1) | 1334 (3) | A | $0 | 1334 (3) | D | |
Series A Preferred Stock | 3/30/2020 | | A4 | 4666 | A | $0 | 6000 | D | |
Series A Preferred Stock | 8/14/2020 | | J4 (2) | 144000 | A | $0 | 150000 | D | |
Common Stock | 4/19/2020 | | A4 | 379 (4) | A | $0 | 379 (4) | D | |
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 Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 (MM/DD/YYYY) | 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 at End of Issuer's Fiscal Year (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | In November 2017, Mr. Remillard acquired controlling interest and 100% of the outstanding preferred shares of the Company, which was then named LandStar, Inc. In connection therewith, Mr. Remillard acquired 1,334 issued and outstanding shares of the Company's Series A Preferred Stock. |
(2) | In January 2018, the Company acquired substantially all of the assets of Myriad Software Productions, LLC, a company owned 100% by Mr. Remillard. The consideration for the acquisition included 144,000 shares of the Company's Series A Preferred Stock (after adjustment for subsequent reverse stock splits), which were issued to Mr. Remillard as part of a Share Settlement Agreement on August 14, 2020. |
(3) | Amount gives effect to the 750-for-1 reverse stock split effected by the Issuer on October 14, 2019. |
(4) | Amount gives effect to the 2,000-for-1 and the 8-for-1 reverse stock splits effected by the Issuer on June 10, 2021 and March 7, 2022, respectively. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Remillard Jason L M 101 J. MORRIS COMMONS LANE MORRISVILLE, NC 27560 | X |
| President; CEO; Secretary |
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Signatures
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/s/ Jason Remillard | | 4/13/2022 |
**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 control number. |
DATA443 Risk Mitigation (PK) (USOTC:ATDS)
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부터 1월(1) 2025 으로 2월(2) 2025
DATA443 Risk Mitigation (PK) (USOTC:ATDS)
과거 데이터 주식 차트
부터 2월(2) 2024 으로 2월(2) 2025
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