Statement of Changes in Beneficial Ownership (4)
January 28 2020 - 04:32PM
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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OMB Number: 3235-0287
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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 * Emerald Health Sciences
Inc. |
2. Issuer Name and Ticker or Trading
Symbol Emerald Bioscience, Inc. [ EMBI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director __X__
10% Owner
_____ Officer (give title
below) _____ Other
(specify below)
|
(Last)
(First)
(Middle)
OFFICE 8262, THE LANDING, 200-375 WATER ST. |
3. Date of Earliest Transaction (MM/DD/YYYY)
12/20/2019
|
(Street)
VANCOUVER, A1 V6B 0M9
(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 |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. 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) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
12/20/2019 |
|
J(1) |
|
40800000 |
A |
$4080000 |
126490167 (2) |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
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 |
Warrant(Right to Buy) |
$0.1 |
12/20/2019 |
|
J (1) |
|
|
40800000 |
1/18/2018 |
1/18/2023 |
Common Stock |
40800000 |
$0.1 |
0 |
D |
|
7% Convertible Debt |
$0.4 |
12/20/2019 |
|
J (1) |
|
|
4080000 |
(1) |
(1) |
Common Stock |
10200000 |
$0.4 |
5036250 |
D |
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Explanation of
Responses: |
(1) |
On 12/20/2019, the Issuer
and the Reporting Person entered into a Warrant Exercise Agreement,
pursuant to which the Reporting Person exercised warrants to
purchase 40,800,000 shares of Common Stock for an exercise price of
$4,080,000. The warrants were issued to the Reporting Person as of
1/18/2018 and 2/16/2018, exercisable over 5 years at $0.10 per
share. The exercise price for the warrant shares was paid in the
form of a reduction of the corresponding amount of outstanding
obligations of the Issuer under the Multi Draw Credit Agreement
between the Issuer and the Reporting Person (the "Credit
Agreement"), thereby reducing the outstanding principal balance,
excluding the debt discount, under the Credit Agreement to
$2,014,500. |
(2) |
Consists of (i) 113,953,917
shares of Common Stock; (ii) 7,500,000 shares of Common Stock
issuable upon exercise of warrants; and (iii) 5,036,250 shares of
Common Stock issuable upon conversion of the outstanding principal
and accrued interest associated with the Credit
Agreement. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Emerald Health Sciences Inc.
OFFICE 8262
THE LANDING, 200-375 WATER ST.
VANCOUVER, A1 V6B 0M9 |
|
X |
|
|
Signatures
|
/s/ Stephen Hall, Chief Financial
Officer |
|
1/27/2020 |
**Signature of Reporting
Person |
Date |