Initial Statement of Beneficial Ownership (3)
May 27 2021 - 10:46AM
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 * Kodumudi Venkat
Jayaraman |
2. Date of Event Requiring Statement
(MM/DD/YYYY)
5/17/2021
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3. Issuer Name and Ticker or Trading
Symbol MPHASE TECHNOLOGIES, INC. [XDSL] |
(Last)
(First)
(Middle)
C/O MPHASE TECHNOLOGIES, INC.,, 9841 WASHINGTONIAN
BOULEVARD, #390 |
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
___X___ Officer (give title
below) _____
Other (specify below)
Chief Operating Officer / |
(Street)
GAITHERSBURG, MD 20878
(City)
(State)
(Zip)
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5. 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 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) |
Restricted Stock Units |
500000 (1) |
D |
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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 |
Explanation of
Responses: |
(1) |
Pursuant to the terms of the
employment agreement, by and between Mr. Venkat and the Issuer, on
May 17, 2021 (the "Effective Date"), Mr. Venkat was granted 500,000
restricted stock units of the Issuer's common stock (the "RSUs"),
with the RSUs vesting as follows: (i) 125,000 RSUs shall vest on
the one year anniversary of the Effective Date; (ii) 125,000 RSUs
shall vest on the second year anniversary of the Effective Date;
(iii) 125,000 RSUs shall vest on the third year anniversary of the
Effective Date; and (iv) 125,000 RSUs shall vest on the fourth year
anniversary of the Effective Date. |
Reporting
Owners
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Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Kodumudi Venkat Jayaraman
C/O MPHASE TECHNOLOGIES, INC.,
9841 WASHINGTONIAN BOULEVARD, #390
GAITHERSBURG, MD 20878 |
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|
Chief Operating Officer |
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Signatures
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/s/ Venkat Kodumudi |
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5/27/2021 |
**Signature of
Reporting Person |
Date |
MPhase Technologies (PK) (USOTC:XDSL)
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