0001683168-21-004684.txt : 20211004 0001683168-21-004684.hdr.sgml : 20211004 20211004193031 ACCESSION NUMBER: 0001683168-21-004684 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210930 FILED AS OF DATE: 20211004 DATE AS OF CHANGE: 20211004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Salkind Gene CENTRAL INDEX KEY: 0001592481 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51160 FILM NUMBER: 211304655 MAIL ADDRESS: STREET 1: 1165 WRACK ROAD CITY: MEADOWBROOK STATE: PA ZIP: 19046 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Mobiquity Technologies, Inc. CENTRAL INDEX KEY: 0001084267 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310] IRS NUMBER: 113427886 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 35 TORRINGTON LANE CITY: SHOREHAM STATE: NY ZIP: 11786 BUSINESS PHONE: 516-256-7766 MAIL ADDRESS: STREET 1: 35 TORRINGTON LANE CITY: SHOREHAM STATE: NY ZIP: 11786 FORMER COMPANY: FORMER CONFORMED NAME: ACE MARKETING & PROMOTIONS INC DATE OF NAME CHANGE: 19990414 4 1 ownership.xml X0306 4 2021-09-30 0 0001084267 Mobiquity Technologies, Inc. MOBQ 0001592481 Salkind Gene 35 TORRINGTON LANE SHOREHAM NY 11766 1 0 1 0 Common Stock 2021-09-30 4 M 0 375000 A 1116021 D Preferred Stock 2021-09-30 4 M 0 1500 D 2018-12-04 2021-09-30 Common stock 750000 1012500 D Common Stock Purchase Warrants 48 2021-09-30 4 M 0 375000 A 2021-09-30 2023-09-20 Common Stock 375000 1387500 D Not applicable - reporting person converted oneshare of Series C preferred stock into 250 common shares and 250 warrants,exercisable at $48 per share. Includes securities or derivative securities heldboth jointly with his spouse and in trust. Represents 1,500 shares of Series C preferredstock converted into 375,000 shares of common stock and a like number ofwarrants, exercisable at $48 per share through September 20, 2023. Includes 375,000 common shares and 375,000warrants, exercisable at $48 per share through September 20, 2023. None. Includes 675,000 shares underlying $2.7million of debt convertible at $4 per share, with 50% warrant coverage (i.e. 337,500 warrants). The warrants are exercisable at $4per share through September 30, 2029, if and when, issued.The foregoing numbers exclude interest payable on the debt, which can also beconverted on the same basis. /s/ Gene Salkind 2021-10-04