0001179110-17-001157.txt : 20170123
0001179110-17-001157.hdr.sgml : 20170123
20170123142031
ACCESSION NUMBER: 0001179110-17-001157
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150218
FILED AS OF DATE: 20170123
DATE AS OF CHANGE: 20170123
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HARRIS DONALD A
CENTRAL INDEX KEY: 0001134583
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33169
FILM NUMBER: 17540780
MAIL ADDRESS:
STREET 1: C/O NFINANSE INC.
STREET 2: 3923 COCONUT PALM DRIVE, SUITE 107
CITY: TAMPA
STATE: FL
ZIP: 33619
4
1
edgar.xml
FORM 4 -
X0306
4
2015-02-18
0
0001356093
CREATIVE REALITIES, INC.
CREX
0001134583
HARRIS DONALD A
C/O NFINANSE INC.
3923 COCONUT PALM DRIVE, STE 107
TAMPA
FL
33619
1
0
0
0
Common Stock
1715815
D
Series A Convertible Preferred Stock
0.255
2015-02-18
4
P
0
50000
1.00
A
2015-02-18
Common Stock
196078
50000
D
Warrants to purchase Common Stock
0.50
2015-02-18
4
P
0
62500
A
2015-02-18
2020-02-18
Common Stock
62500
62500
D
Series A Convertible Preferred Stock
0.255
2015-06-30
4
J
0
1100
A
2015-06-30
Common Stock
4314
51100
D
Series A Convertible Preferred Stock
0.255
2015-12-31
4
J
0
1533
A
2015-12-31
Common Stock
6012
52633
D
Warrants to purchase Common Stock
0.28
2016-06-13
4
J
0
357143
A
2016-06-13
2021-06-13
Common Stock
357143
357143
D
Series A Convertible Preferred Stock
0.255
2016-06-30
4
J
0
1579
A
2016-06-30
Common Stock
6192
54212
D
No expiration date.
The Series A Convertible Preferred Stock and Warrants were purchased together for the price of $1.00 per share.
The Reporting Person received these shares as a payment-in-kind dividend.
The Reporting Person received this Warrant in connection with a debt instrument.
/s/ Donald A. Harris
2017-01-23