Statement of Changes in Beneficial Ownership (4)
September 16 2020 - 4:41PM
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).
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
*
Foreman Louis |
2. Issuer Name and Ticker or Trading Symbol
EDISON NATION, INC.
[
EDNT
]
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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)
C/O EDISON NATION, INC., 1 WEST BROAD STREET, SUITE 1004 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
8/19/2020 |
(Street)
BETHLEHEM, PA 18010
(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 (1) | 8/19/2020 | | J | | 14044 (1) | A | $0 | 107790 | D | |
Common Stock | 8/19/2020 | | J | | 413571 (1) | A | $0 | 692113 | I | Venture Six LLC (2) |
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 |
Explanation of Responses: |
(1) | These shares of common stock were issued to Mr. Foreman and Venture Six, LLC under the terms of the Membership Interest Purchase Agreement dated June 29, 2018 and further detailed within the Company's Current Report filed on Form 8-K dated August 24, 2020. |
(2) | Venture Six LLC ("Venture Six") is the holder of 692,113 shares of Edison Nation, Inc.'s common stock. Louis Foreman is the managing member of Venture Six LLC and, as such, has voting and dispositive authority over the Shares held by Venture Six. Louis Foreman disclaims beneficial ownership of the shares reported in this row, except to the extent of his pecuniary interest. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Foreman Louis C/O EDISON NATION, INC. 1 WEST BROAD STREET, SUITE 1004 BETHLEHEM, PA 18010 | X |
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Signatures
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/s/ Louis Foreman | | 9/16/2020 |
**Signature of Reporting Person | Date |
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