Statement of Changes in Beneficial Ownership (4)
September 23 2021 - 10:17AM
Edgar (US Regulatory)
FORM 4
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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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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
*
Leavy Frank |
2. Issuer Name and Ticker or Trading Symbol
SIMPLICITY ESPORTS & GAMING Co
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WINR
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5. 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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(Last)
(First)
(Middle)
C/O SIMPLICITY ESPORTS & GAMING CO., 7000 W.PALMETTO PARK RD., SUITE 505 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/28/2018 |
(Street)
BOCARATON, FL 33433
(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
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 12/28/2018 | | J(1) | | 2516 | A | (1) | 2516 | D | |
Common Stock | 6/30/2020 | | A(2) | | 2500 | A | $0 | 5016 | D | |
Common Stock | 9/1/2021 | | A(2) | | 5000 | A | $0 | 10016 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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) | $92 | 12/28/2018 | | J (1) | | 938 | | 1/27/2019 | 5/22/2024 | Common Stock | 938 | (1) | 938 | D | |
Explanation of Responses: |
(1) | On December 28, 2018, the reporting person purchased issuer units at a purchase price of $10.00 per unit. Each unit consisted of one share of the issuer's common stock, one right and one warrant. Each warrant entitles the holder to purchase one share of the issuer's common stock at an exercise price of $92.00 per share. |
(2) | Represents a grant by the issuer to the reporting person. The grant was approved by the issuer's Board of Directors. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Leavy Frank C/O SIMPLICITY ESPORTS & GAMING CO. 7000 W.PALMETTO PARK RD., SUITE 505 BOCARATON, FL 33433 | X |
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Signatures
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/s/ Frank Leavy | | 9/23/2021 |
**Signature of Reporting Person | Date |
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