0001683168-21-006258.txt : 20211210 0001683168-21-006258.hdr.sgml : 20211210 20211210160009 ACCESSION NUMBER: 0001683168-21-006258 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211208 FILED AS OF DATE: 20211210 DATE AS OF CHANGE: 20211210 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: 001-41117 FILM NUMBER: 211485195 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 2021-12-08 0 0001084267 Mobiquity Technologies, Inc. MOBQ 0001592481 Salkind Gene 35 TORRINGTON LANE SHOREHAM NY 11766 1 0 1 0 Common Stock Options 4.565 2021-12-08 4 A 0 35000 A 2022-02-07 2031-12-08 Common Stock 35000 1422500 D Not applicable. 1,422,500 derivative securities include the following: (i) 675,000 shares underlying $2.7 million of debt, convertible at $4.00 per share with 50% warrant coverage (i.e. 337,500 warrants, exercisable at $4.00 per share through September 30, 2029, if and when issued); (ii) 375,000 common stock purchase warrants exercisable at $48 per share through September 20, 2023; and (iii) options to purchase 35,000 shares granted on December 8, 2021, which options necessitated this filing. /s/ Gene Salkind 2021-12-10