0001094891-16-000560.txt : 20160801
0001094891-16-000560.hdr.sgml : 20160801
20160801135707
ACCESSION NUMBER: 0001094891-16-000560
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160728
FILED AS OF DATE: 20160801
DATE AS OF CHANGE: 20160801
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Long Island Iced Tea Corp.
CENTRAL INDEX KEY: 0001629261
STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080]
IRS NUMBER: 472624098
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 116 CHARLOTTE AVENUE
CITY: HICKSVILLE
STATE: NY
ZIP: 11801
BUSINESS PHONE: (855) 542-2832
MAIL ADDRESS:
STREET 1: 116 CHARLOTTE AVENUE
CITY: HICKSVILLE
STATE: NY
ZIP: 11801
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WATSON E J
CENTRAL INDEX KEY: 0001018319
STATE OF INCORPORATION: Q2
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37808
FILM NUMBER: 161796799
MAIL ADDRESS:
STREET 1: C/O DAVIS POLK & WARDWELL
STREET 2: 450 LEXINGTON AVE
CITY: NEW YORK
STATE: NY
ZIP: 10017
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2016-07-28
0001629261
Long Island Iced Tea Corp.
LTEA
0001018319
WATSON E J
SUITE 9, LEVEL 2
20, AUGUSTUS TERRACE
PARNELL
AUKLAND
Q2
1052
NEW ZEALAND
0
0
1
0
Common Stock
2016-07-28
4
J
0
261834
A
261834
I
by Brentwood LIIT (NZ) Ltd
Common Stock
2016-07-28
4
J
0
301632
A
563466
I
by Brentwood LIIT (NZ) Ltd
Common Stock
754355
I
by Cullen Inc. Holdings Ltd.
Convertible Promissory Note
4.00
2016-07-28
4
J
0
1035848.00
D
2015-11-23
Common Stock
258962
0
I
by Brentwood LIIT (NZ) Ltd
Warrant
4.50
2016-07-28
4
J
0
689444
D
2015-11-23
2018-11-23
Common Stock
689444
0
I
by Brentwood LIIT (NZ) Ltd
Pursuant to a reclassification exempt under Rule 16b-7, the Convertible Promissory Note and the Warrant were exchanged for 261,834 and 301,632 shares of the Issuer's common stock, respectively.
These securities are held by Brentwood LIIT (NZ) Ltd, an entity controlled by the reporting person. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
These securities are held by Cullen Inc. Holdings Ltd., an entity controlled by the reporting person. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report should not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
All or any portion of the outstanding principal amount of the Convertible Promissory Note, and all accrued and unpaid interest thereon, are convertible, at the option of Brentwood LIIT Inc., into shares of the issuer's common stock. The loan matures on November 23, 2018.
/s/ Eric J. Watson
2016-07-29