SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Kao Justis

(Last) (First) (Middle)
C/O LOOP MEDIA, INC.
2600 WEST OLIVE AVE., SUITE 5470

(Street)
BURBANK CA 91505

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/11/2023
3. Issuer Name and Ticker or Trading Symbol
Loop Media, Inc. [ LPTV ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Content Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
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
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)
Common Stock 30,000(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: 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
Stock Option (right to buy) (2) 12/06/2026 Common Stock 29,358 $2.58 D
Stock Option (right to buy) (3) 09/30/2028 Common Stock 637,308 $1.98 D
Stock Option (right to buy) (4) 11/10/2030 Common Stock 83,333 $3.3 D
Stock Option (right to buy) (5) 09/22/2032 Common Stock 60,610 $4.95 D
Explanation of Responses:
1. Reporting Person was granted 30,000 restricted stock units on September 22, 2022, which will be settled in shares of the Issuer's common stock once vested. The restricted stock units vested as to 25% on September 22, 2023, with the remainder to vest thereafter in equal quarterly installments over the following three-year period, commencing on the three-month anniversary of September 22, 2023.
2. The option was granted on December 7, 2016. The option fully vested and became exercisable on December 7, 2016.
3. The option was granted on October 31, 2018. The option fully vested and became exercisable on April 30, 2019.
4. The option was granted on November 10, 2020. The option vested as to 25% on March 1, 2021, with the remainder vesting thereafter in 36 equal monthly installments beginning April 1, 2021.
5. The option will vest over a period of four (4) years from September 22, 2022 (the "Grant Date") and will be exercisable in accordance with the following vesting schedule: 12/48th of the amount of total options granted on the first anniversary of the Grant Date, and then 1/48th of the amount of total options granted on the first day of each month thereafter for the next three (3) years, and continuing each successive month until the option is 100% vested.
Remarks:
Exhibit 24- Power of Attorney
/s/ Joanne Lytle, Attorney-in Fact 12/20/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.