Statement of Changes in Beneficial Ownership (4)
December 23 2021 - 5:43PM
Edgar (US Regulatory)
FORM 4
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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).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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
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TAGLICH MICHAEL N |
2. Issuer Name and Ticker or Trading Symbol
Bridgeline Digital, Inc.
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BLIN
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
100 SYLVAN RD. SUITE G-700 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/21/2021 |
(Street)
WOBURN, MA 01801
(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 | 12/21/2021 | | X | | 2379 | A | $3.875 | 90312 (1)(2) | D | |
Common Stock | | | | | | | | 35 (3) | I | By spouse |
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) | 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 | 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 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) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Common Stock Warrants (right to buy) | $3.875 | 12/21/2021 | | X | | | 2379 | 2/8/2021 | 2/4/2026 | Common Stock | 2379 | $0 | 0 | D | |
Explanation of Responses: |
(1) | For the purposes of this Form 4, the number of shares of common stock of Bridgeline Digital, Inc (the "Company") beneficially owned by the Reporting Person is the number of shares in Table 1 Column 4 (2,379) plus 87,933 shares of common stock beneficially owned by the Reporting Person prior to this reported transaction calculated as follows: (x) 360,229 shares (representing the total beneficial ownership of the Reporting Person reflected in the beneficial ownership table included in the Company's Form 10-K, filed with the commission on December 20, 2021) minus (y)(i) 195,662 shares of common stock underlying currently exercisable warrants; (ii) 37,708 shares of common stock underlying currently exercisable options; (iii) 2 shares of common stock underlying currently exercisable warrants owned by the Reporting Person's spouse (the ownership of which the Reporting Person disclaims); |
(2) | (iv) 35 shares of common stock owned by the Reporting Person's spouse (the ownership of which the Reporting Person disclaims); and (v) 38,889 shares of common stock issuable upon the conversion of the Company's Series C Preferred Stock. |
(3) | The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the securities for the purpose of Section 16 or for any other purpose. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
TAGLICH MICHAEL N 100 SYLVAN RD. SUITE G-700 WOBURN, MA 01801 | X |
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Signatures
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/s/ Michael N. Taglich | | 12/23/2021 |
**Signature of Reporting Person | Date |
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