Annual Statement of Changes in Beneficial Ownership (5)

Date : 10/04/2019 @ 7:13PM
Source : Edgar (US Regulatory)
Stock : Destiny Media Technologies, Inc. (QB) (DSNY)
Quote : 0.95055  -0.04945 (-4.94%) @ 8:59PM

Annual Statement of Changes in Beneficial Ownership (5)

FORM 5 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
[ ] Form 3 Holdings Reported
[X] Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL 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
                      

1. Name and Address of Reporting Person *

Boenisch Sandra

2. Issuer Name and Ticker or Trading Symbol

DESTINY MEDIA TECHNOLOGIES INC [DSNY]

5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                    _____ 10% Owner
__X__ Officer (give title below)    _____ Other (specify below)
Chief Financial Officer

(Last)          (First)          (Middle)

#1110 - 885 WEST GEORGIA STREET

3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY)
8/31/2019 
(Street)

VANCOUVER, A1 V6C 3E8

(City)        (State)        (Zip)
4. 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


Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date2A. Deemed Execution Date, if any3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Amount(A) or (D)Price
COMMON 8/31/2019  A4 (1)5643 A$1.25 (2)15984 (3)D  

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security3. Trans. Date3A. Deemed Execution Date, if any4. 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
(MM/DD/YYYY)
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 at End of Issuer's Fiscal Year
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
STOCK OPTION (RIGHT TO BUY) $1.05 6/25/2019  A (4)10000     (5)12/13/2022 COMMON 10000 (3)$0 10000 D  
STOCK OPTION (RIGHT TO BUY) $1.75 6/25/2019  A (4)20000     (5)12/13/2022 COMMON 20000 (3)$0 20000 D  
STOCK OPTION (RIGHT TO BUY) $2.00 6/25/2019  D (4)  30000   (5)12/13/2022 COMMON 30000 (3)$0 0 D  

Explanation of Responses:
(1) Purchased under Employee Stock Purchase Plan, which transactions are exempt under Rule 16b-3(c) of the Securities Exchange Act of 1934.
(2) The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $0.98 to $1.50, inclusive. The reporting person undertakes to provide to Destiny Media Technologies Inc., any security holder of Destiny Media Technologies Inc. or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in this footnote. The weighted average price reported above was converted from the Canadian weighted average price of C$1.66 to USD using an exchange rate of CAD $1.3294=USD $1.00.
(3) Reflects 5:1 stock consolidation effected by Destiny Media Technologies Inc. on September 13, 2019.
(4) The reporting person agreed to cancellation of an option granted on December 13, 2017 exchange for new options having a lower exercise price.
(5) The options are vesting in equal monthly installments over a two-year period which commenced on December 31, 2017.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
Boenisch Sandra
#1110 - 885 WEST GEORGIA STREET
VANCOUVER, A1 V6C 3E8


Chief Financial Officer

Signatures
/s/ Sandra Boenisch10/3/2019
**Signature of Reporting PersonDate

Destiny Media Technologies, Inc. (QB) (USOTC:DSNY)
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