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