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
CATASYS, INC. [ CATS ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 07/30/2015 | ||||||||||||||||||||||||||
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 |
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 | ||||||||
12% Convertible Debenture(1) | $1.9 | 07/30/2015 | P | $3,553,030.1 | 07/30/2015 | (1) | Common Stock | 1,870,016 | $1.9 | 1,870,016 | I | By Acuitas Group Holdings, LLC(2) | |||
Warrant to purchase(1) | $1.9 | 07/30/2015 | P | 935,008 | 07/30/2015 | 07/30/2020 | Common Stock | 935,008 | (3) | 935,008 | I | By Acuitas Group Holdings, LLC(2) | |||
Warrant to purchase(4)(5) | $0.47 | 03/30/2016 | P | 450,000 | 03/30/2016 | 03/30/2021 | Common Stock | 450,000 | (7) | 450,000 | I | By Acuitas Group Holdings, LLC(2) | |||
Warrant to purchase(4)(6) | $0.47 | 04/27/2016 | P | 200,000 | 04/27/2016 | 04/27/2021 | Common Stock | 200,000 | (7) | 200,000 | I | By Acuitas Group Holdings, LLC(2) | |||
Warrant to purchase(4) | $0.33 | 05/24/2016 | P | 306,818 | 05/24/2016 | 05/24/2021 | Common Stock | 306,818 | (7) | 306,818 | I | By Acuitas Group Holdings, LLC(2) | |||
Warrant to purchase(4) | $0.33 | 06/02/2016 | P | 174,242 | 06/02/2016 | 06/02/2021 | Common Stock | 174,242 | (7) | 174,242 | I | By Acuitas Group Holdings, LLC(2) | |||
Warrant to purchase(4) | $0.33 | 06/22/2016 | P | 189,394 | 06/22/2016 | 06/22/2021 | Common Stock | 189,394 | (7) | 189,394 | I | By Acuitas Group Holdings, LLC(2) | |||
Warrant to purchase(4) | $0.33 | 07/05/2016 | P | 318,182 | 07/05/2016 | 07/05/2021 | Common Stock | 318,182 | (7) | 318,182 | I | By Acuitas Group Holdings, LLC(2) | |||
Warrant to purchase(4) | $0.33 | 07/21/2016 | P | 113,636 | 07/21/2016 | 07/21/2021 | Common Stock | 113,636 | (7) | 113,636 | I | By Acuitas Group Holdings, LLC(2) |
Explanation of Responses: |
1. Pursuant to its terms, as of June 30, 2016, the principal amount under the 12% Convertible Debenture was adjusted to $3,887,519.83 and on September 17, 2015, the conversion price was adjusted to $0.30, resulting in 12,958,399 shares of common stock to be issued upon conversion of the 12% Convertible Debenture. The Maturity date of the 12% Convertible Debenture was extended on October 16, 2015 from January 18, 2016 to January 18, 2017. On September 17, 2015, the exercise price of the warrants was adjusted to $0.30 per share pursuant to a price protection provision included in the warrants. |
2. The reporting person is the Managing Director and 100% owner of Acuitas Group Holdings, LLC, and may be deemed to beneficially own or control the securities. The reporting person disclaims beneficial ownership of any such securities. |
3. The warrants were issued by the Issuer in connection with the execution of the 12% Convertible Debenture (as amended from time to time). |
4. The exercise price and the number of shares issuable upon exercise of the warrants are subject to potential future adjustment pursuant to the full-ratchet anti-dilution provisions included in the warrant. As of August 15, 2016, the exercise price of the warrants was increased to $1.10 per share. |
5. Subsequent to the issuance date, the exercise price of these warrants was decreased to $0.33 (and on August 15, 2016, increased to $1.10) and the number of shares of common stock issuable thereunder was increase to 640,909. |
6. Subsequent to the issuance date, the exercise price of these warrants was decreased to $0.33 (and on August 15, 2016, increased to $1.10) and the number of shares of common stock issuable thereunder was increase to 284,848. |
7. The warrants were issued by the Issuer in connection with the execution of promissory notes (as amended and restated from time to time). |
/s/ Terren S. Peizer | 08/17/2016 | |
** 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. |