Amended Annual Statement of Changes in Beneficial Ownership (5/a)
January 21 2020 - 5:04PM
Edgar (US Regulatory)
[ ]
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
[ ]
Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0362
Estimated average burden hours per response...
1.0
|
|
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
*
SCHIFFMAN GREGORY T | 2. Issuer Name and Ticker or Trading SymbolDropCar, Inc. [DCAR] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
|
(Last)
(First)
(Middle)
C/O DROPCAR, INC., 142 BROADWAY, SUITE 2105 | 3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) 12/31/2019 |
(Street)
NEW YORK, NY 10018
(City)
(State)
(Zip)
| 4. If Amendment, Date Original Filed(MM/DD/YYYY) 8/29/2019 | 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) |
Amount | (A) or (D) | Price |
COMMON STOCK | 8/27/2019 (1) | | A | 31646 | A | $0 | 31646 (1) | D | |
COMMON STOCK | 8/27/2019 | | F | 12477 | D | $.78 | 19169 | 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 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 (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 Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | On August 29, 2019, the reporting person filed a Form 4 reporting an award of 63,292 shares of common stock and the payment of associated tax liability. Of those shares, half (or 31,646 shares) vested on the date of grant and the remaining shares were to vest on subsequent dates. The unvested shares associated with such award were subsequently cancelled. As of January 17, 2020, the reporting person owned 19,169 shares of common stock. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
SCHIFFMAN GREGORY T C/O DROPCAR, INC. 142 BROADWAY, SUITE 2105 NEW YORK, NY 10018 | X |
|
|
|
Signatures
|
/s/ Gregory Schiffman | | 1/21/2020 |
**Signature of Reporting Person | Date |
DropCar (NASDAQ:DCAR)
Historical Stock Chart
From Jun 2024 to Jul 2024
DropCar (NASDAQ:DCAR)
Historical Stock Chart
From Jul 2023 to Jul 2024