0001179110-20-006896.txt : 20200603
0001179110-20-006896.hdr.sgml : 20200603
20200603163707
ACCESSION NUMBER: 0001179110-20-006896
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200601
FILED AS OF DATE: 20200603
DATE AS OF CHANGE: 20200603
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MILLS RICHARD C
CENTRAL INDEX KEY: 0001076128
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33169
FILM NUMBER: 20940516
MAIL ADDRESS:
STREET 1: C/O POMEROY COMPUTER RESOURCES INC
STREET 2: 1020 PETERSBURG ROAD
CITY: HEBRON
STATE: KY
ZIP: 41048
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CREATIVE REALITIES, INC.
CENTRAL INDEX KEY: 0001356093
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
IRS NUMBER: 411967918
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 13100 MAGISTERIAL DRIVE
STREET 2: SUITE 100
CITY: LOUISVILLE
STATE: KY
ZIP: 40223
BUSINESS PHONE: 502-791-8800
MAIL ADDRESS:
STREET 1: 13100 MAGISTERIAL DRIVE
STREET 2: SUITE 100
CITY: LOUISVILLE
STATE: KY
ZIP: 40223
FORMER COMPANY:
FORMER CONFORMED NAME: WIRELESS RONIN TECHNOLOGIES INC
DATE OF NAME CHANGE: 20060313
4
1
edgar.xml
FORM 4 -
X0306
4
2020-06-01
0
0001356093
CREATIVE REALITIES, INC.
CREX
0001076128
MILLS RICHARD C
13100 MAGISTERIAL DRIVE, SUITE 100
LOUISVILLE
KY
40223
1
1
0
0
Chief Executive Officer
Common Stock
702259
D
Common Stock
87976
I
By RFK Communications, LLC
Stock Options (right to buy)
2.53
2020-06-01
4
D
0
480000
0
D
2030-05-20
Common Stock
480000
0
D
Stock Options (right to buy)
2.53
2020-06-01
4
A
0
480000
0
A
2030-06-01
Common Stock
480000
480000
D
The Reporting Person is a principal of RFK Communications, LLC and has voting and investment power for this entity.
This transaction involves a rescission of a prior grant pursuant to an agreement dated June 1, 2020 between the Company and the Reporting Person in connection with securities granted which were in excess of the limits authorized by the Company's 2014 Stock Incentive Plan. As of the date of rescission, the forfeited options to acquire 480,000 shares were not vested.
The options were granted pursuant to an agreement dated June 1, 2020 between the Company and the Reporting Person and are subject to approval by Company's stockholders of an amendment to its 2014 Stock Incentive Plan (the "Amendment"). If the Amendment is approved by stockholders, options to acquire 480,000 shares will vest in three equal installments of 160,000 each on 6/1/2021, 6/1/2022 and 6/1/2023. The grant was approved in accordance with Rule 16b-3(d) of the Securities Exchange Act of 1934 (the "1934 Act"), and in accordance with Rule 16b-3(a) of the 1934 Act is exempt from Section 16(b) of the 1934 Act.
Exhibit 24.1 Power of Attorney filed with Form 4 dated 9/18/2019 and incorporated herein by reference.
/s/ Will Logan as Attorney-in-Fact for Richard Mills
2020-06-03