Initial Statement of Beneficial Ownership (3)
April 19 2022 - 4:34PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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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DUMONT MARC |
2. Date of Event Requiring Statement (MM/DD/YYYY)
2/16/2021
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3. Issuer Name and Ticker or Trading Symbol
Gaucho Group Holdings, Inc. [VINO]
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(Last)
(First)
(Middle)
43 RUE DE LA PRETAIRE |
4. 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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(Street)
VERBIER, V8 1936
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 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 Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 30000 | D (1) | |
Common Stock | 39282 | D (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. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Stock Option | (3) | 12/17/2022 | Common Stock | 3334 | $16.50 | D | |
Stock Option | (4) | 1/31/2024 | Common Stock | 3334 | $5.78 | D | |
Stock Option | (5) | 9/28/2025 | Common Stock | 6667 | $9.08 | D | |
Explanation of Responses: |
(1) | Owned by self, Vinciane Dumont and Catherine Dumont as joint tenants with rights of survivorship. |
(2) | Owned by self, Patrick Dumont and Vinciane Dumont as joint tenants with rights of survivorship. |
(3) | Options issued pursuant to the 2016 Equity Incentive Plan on 12/17/17 at $16.50 per share. 833 vest on 12/17/18; thereafter 208 vest every 3 months; exp. 12/17/22. |
(4) | Options granted pursuant to the 2018 Equity Incentive Plan on 1/31/2019 at $5.78 per share. 833 vest on 1/31/20; thereafter 208 vest every 3 months; exp. 1/31/24. |
(5) | Options issued pursuant to the 2018 Equity Incentive Plan on 9/28/20 at $9.08 per share. 1,667 vest on 9/28/21; thereafter 417 every 3 months; exp. 9/28/25. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
DUMONT MARC 43 RUE DE LA PRETAIRE VERBIER, V8 1936 | X |
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Signatures
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/s/ Marc Dumont | | 4/19/2022 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
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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