Statement of Changes in Beneficial Ownership (4)
November 01 2021 - 4:15PM
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
*
MATHIS SCOTT L |
2. Issuer Name and Ticker or Trading Symbol
Gaucho Group Holdings, Inc.
[
VINO
]
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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, CEO, Chair. & Dir. |
(Last)
(First)
(Middle)
1445 16TH STREET, SUITE 403 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
7/6/2021 |
(Street)
MIAMI BEACH,, FL 33139
(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 | 7/6/2021 | | A | | 522 | A | $0 | 17992 | I | See Footnote (1) |
Common Stock | | | | | | | | 23771 | D | |
Common Stock | | | | | | | | 251829 | I | See Footnote (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 |
Stock Option | $5.78 | | | | | | | (3) | 7/8/2024 | Common Stock | 147326 | | 147326 | D | |
Stock Option | $5.78 | | | | | | | (4) | 1/31/2024 | Common Stock | 30000 | | 30000 | D | |
Stock Option | $8.09 | | | | | | | (5) | 9/20/2023 | Common Stock | 48334 | | 48334 | D | |
Stock Option | $11.55 | | | | | | | (6) | 2/14/2023 | Common Stock | 66667 | | 66667 | D | |
Stock Option | $16.50 | | | | | | | (7) | 12/17/2022 | Common Stock | 20000 | | 20000 | D | |
Explanation of Responses: |
(1) | Shares held by Mr. Mathis' 401(k) account. |
(2) | Shares held by The WOW Group, LLC, of which Mr. Mathis is a managing member and of which Mr. Mathis is a controlling member. |
(3) | Stock options granted pursuant to 2018 Equity Incentive Plan; options to acquire 36,832 shares vest on 7/8/20; thereafter options to acquire 9,208 shares vest every three months in equal installments. |
(4) | Stock options granted pursuant to 2018 Equity Incentive Plan; options to acquire 7,500 shares vest on 1/31/20; thereafter options to acquire 1,875 shares vest every three months in equal installments. |
(5) | Stock options granted pursuant to 2018 Equity Incentive Plan; options to acquire 12,084 shares vest on 9/20/19; thereafter options to acquire 3,021 shares vest every three months in equal installments with the last installment of 3,020 vesting on 9/20/22. |
(6) | Stock options granted pursuant to 2016 Equity Incentive Plan; options to acquire 16,667 shares vest on 2/14/19; thereafter options to acquire 4,167 shares vest every three months. |
(7) | Stock options granted pursuant to 2016 Equity Incentive Plan; options to acquire 5,000 shares vest on 12/17/18; thereafter options to acquire 1,250 shares vest every three months. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
MATHIS SCOTT L 1445 16TH STREET, SUITE 403 MIAMI BEACH,, FL 33139 | X |
| President, CEO, Chair. & Dir. |
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Signatures
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/s/ Scott L. Mathis | | 11/1/2021 |
**Signature of Reporting Person | Date |
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