FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
CurAegis Technologies, Inc. [ CRGS ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 12/06/2016 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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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) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 12/06/2016 | C | 250,000 | A | (1) | 863,333 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) | 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: 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 | ||||||||
Series C Voting Convertible Preferred Stock | (1) | 12/06/2016 | C | 250,000 | 09/23/2011 | 09/23/2021 | Common Stock | 250,000 | (1) | 0(2) | D | ||||
Common Stock Purchase Warrant | $0.25 | 12/07/2016 | A | 24,000 | 12/07/2016 | 12/07/2026 | Common Stock | 24,000 | $0.25 | 24,000 | D | ||||
Convertible Promissory Note | $0.25 | 12/07/2016 | A | $60,000 | 12/07/2016 | 12/07/2021 | Common Stock | $60,000 | $0.25 | $60,000 | D |
Explanation of Responses: |
1. The reporting person converted 250,000 shares of Series C Voting Convertible Preferred Stock, par value $.01 per share, into an equivalent number of shares of Common Stock of the Company, par value $.01 per share, resulting in his acquisition of 250,000 shares of Common Stock of the Company. |
2. The reported securities are included within 250,000 Investment Units purchased by the reporting person on 09/23/2011. Each Investment Unit consists of one (1) share of the Company's Series C Voting Convertible Preferred Stock, par value $.01 per share, initially convertible into an equivalent number of shares of Common Stock of the Company, par value $.01 per share, and a warrant to purchase one-tenth (1/10) of a share of Common Stock exercisable immediately for ten years at an initial exercise price equal to the greater of (i) $.01, or (ii) 80% of the volume weighted average sales price per share of the Company's Common Stock during the ten consecutive trading days immediately preceding the notice of exercise. |
Kathleen A. Browne, POA for Gary A. Siconolfi | 12/07/2016 | |
** 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 4 (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. |