Statement of Changes in Beneficial Ownership (4)
June 26 2017 - 7:03PM
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
*
Doyle William R.
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2. Issuer Name
and
Ticker or Trading Symbol
Vystar Corp
[
VYST
]
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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)
Chairman, President & CEO
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(Last)
(First)
(Middle)
2480 BRIARCLIFF RD NE, #6,, SUITE 159
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3. Date of Earliest Transaction
(MM/DD/YYYY)
9/6/2013
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(Street)
ATLANTA, GA 30329
(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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Common Stock
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11/30/2016
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M
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300000
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A
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$0.05
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2874799
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D
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Common Stock
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11/30/2016
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F
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94340
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D
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$0.15
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2780459
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D
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Common Stock
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12/30/2016
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P
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140000
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A
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$0.05
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2920459
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D
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Common Stock
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6/22/2017
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P
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20000
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A
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$0.10
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2940459
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D
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Common Stock
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6/22/2017
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P
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5000
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A
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$0.095
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2945459
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D
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Common Stock
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6/23/2017
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P
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5000
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A
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$0.10
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2950459
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D
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Common Stock
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6/23/2017
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P
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5000
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A
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$0.105
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2955459
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D
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Common Stock
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64000
(1)
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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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10% Convertible Note due 2018
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$0.05
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9/6/2013
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J
(2)
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40315.07
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9/6/2018
(3)
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9/6/2018
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Common Stock
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806301
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$0.00
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$40315.07
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D
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Common Stock Warrant (Right to Buy)
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$0.05
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7/31/2014
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J
(4)
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66531
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7/31/2014
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7/31/2024
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Common Stock
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66531
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$0.00
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66531
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D
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Employee Stock Option (right to buy)
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$0.05
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1/1/2015
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A
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300000
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1/1/2015
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1/1/2025
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Common Stock
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300000
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$0.00
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300000
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D
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Common Stock Warrant (Right to Buy)
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$0.05
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9/29/2015
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G
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V
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173077
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(5)
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12/31/2023
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Common Stock
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173077
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$0.00
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0
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D
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Common Stock Warrant (Right to Buy)
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$0.05
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9/29/2015
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G
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V
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173077
(6)
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(5)
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12/31/2015
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Common Stock
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173077
(6)
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$0.00
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0
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D
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Common Stock Warrant (Right to Buy)
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$0.05
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12/15/2015
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G
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V
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416667
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3/7/2014
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3/7/2016
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Common Stock
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416667
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$0.00
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0
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D
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Common Stock Warrant (Right to Buy)
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$0.07
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1/5/2016
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J
(7)
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745664
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(8)
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1/5/2026
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Common Stock
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745664
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$0.00
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745664
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D
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Common Stock Warrant (Right to Buy)
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$0.07
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1/5/2016
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J
(9)
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750000
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1/5/2016
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1/5/2026
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Common Stock
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750000
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$0.00
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750000
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D
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Common Stock Warrant (Right to Buy)
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$0.05
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5/14/2016
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G
(10)
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V
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28615
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(5)
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6/17/2023
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Common Stock
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28615
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$0.00
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0
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D
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Employee Stock Option (right to buy)
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$0.05
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11/30/2016
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M
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300000
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(11)
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12/31/2025
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Common Stock
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300000
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$0.00
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0
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D
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Explanation of Responses:
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(1)
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Held by Royal Bank of Canada Custodian FBO William R. Doyle RLVR IRA.
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(2)
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The convertible promissory note was issued to Mr. Doyle in exchange for his foregoing $40,769.92 of salary due to Mr. Doyle.
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(3)
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Conversion of the note is mandatory at maturity of the note.
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(4)
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The securities were issued to Mr. Doyle in exchange for his foregoing $7,318.41 of salary due to Mr. Doyle.
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(5)
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The warrant is exercisable immediately.
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(6)
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The shares underlying the warrant were previously erroneously reported as 171,900.
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(7)
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The securities were issued to Mr. Doyle in exchange for his foregoing $50,000 of salary due to Mr. Doyle.
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(8)
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1/12th of the principal amount of the note is convertible each month after the date of grant.
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(9)
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The warrant was issued to Mr. Doyle to replace certain warrants that he previously gifted.
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(10)
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The securities were issued to Mr. Doyle as payment of a bonus.
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(11)
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The stock option is exercisable immediately.
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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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Doyle William R.
2480 BRIARCLIFF RD NE, #6,
SUITE 159
ATLANTA, GA 30329
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X
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Chairman, President & CEO
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Signatures
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William R. Doyle
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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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