Statement of Changes in Beneficial Ownership (4)
June 26 2017 - 5:05PM
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
*
Murphy Edward H
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2. Issuer Name
and
Ticker or Trading Symbol
IZEA, Inc.
[
IZEA
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
President and CEO
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(Last)
(First)
(Middle)
480 NORTH ORLANDO AVENUE, SUITE 200
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3. Date of Earliest Transaction
(MM/DD/YYYY)
6/21/2017
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(Street)
WINTER PARK, FL 32789
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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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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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Option (Right to Buy)
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$4.2
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6/21/2017
(1)
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A
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14249
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6/30/2017
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3/31/2027
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Common Stock
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14249.0
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$0
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498736
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D
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Option (Right to Buy)
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$2.75
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6/21/2017
(2)
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A
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11887
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6/30/2017
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5/12/2027
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Common Stock
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11887.0
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$0
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510623
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D
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Explanation of Responses:
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(1)
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On April 3, 2017, this option grant was approved for issuance to Mr. Murphy for the fair value of his fourth quarter 2016 bonus and his annual 2016 bonus in accordance with the terms of his employment agreement using the closing market price on March 31, 2017, which was $4.20 per share. The issuance of this option was subject to the stockholders approving an increase in the number of option shares in the Company's 2011 Equity Incentive Plan on or before June 30, 2017. The stockholders approved a 500,000 share increase in the Company's 2011 Equity Incentive Plan on June 21, 2017. This option vests as to 891 shares on June 30,2017 and then in equal monthly installments of approximately 297 shares over the remaining 45 months.
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(2)
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On May 12, 2017, this option grant was approved for issuance to Mr. Murphy for the fair value of his first quarter 2017 bonus in accordance with the terms of his employment agreement using the closing market price on May 12, 2017, which was $2.75. The issuance of this option was subject to the stockholders approving an increase in the number of option shares in the Company's 2011 Equity Incentive Plan on or before June 30, 2017. The stockholders approved a 500,000 share increase in the Company's 2011 Equity Incentive Plan on June 21, 2017. This option vests as to 248 shares on June 30, 2017 and then in equal monthly installments of approximately 248 shares over the remaining 47 months.
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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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Murphy Edward H
480 NORTH ORLANDO AVENUE
SUITE 200
WINTER PARK, FL 32789
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X
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President and CEO
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Signatures
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By: /s/ LeAnn Hitchcock as attorney-in-fact for Edward H. Murphy
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6/26/2017
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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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