SEC Form 4
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*
BROMLEY HENRY WALFORD

(Last) (First) (Middle)
C/O KIDOZ INC.
SUITE 220, 1685 WEST 4TH AVENUE

(Street)
VANCOUVER A1 V6J 1L8

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
KIDOZ INC. [ KIDZ ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
3. Date of Earliest Transaction (Month/Day/Year)
02/21/2023
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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
Common Stock 375,000 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Employee Stock Option (Right to Buy) $0.22 02/21/2023 02/21/2023 A 50,000 02/21/2023 02/21/2028 Common Stock 50,000(1) $0.22 525,000 D
Employee Stock Option (Right to Buy) $0.42 06/04/2018 06/04/2023 Common Stock 175,000(2) 525,000 D
Employee Stock Option (Right to Buy) $0.33 06/30/2020 06/30/2025 Common Stock 50,000(3) 525,000 D
Employee Stock Option (Right to Buy) $0.39 02/01/2021 02/01/2026 Common Stock 50,000(4) 525,000 D
Employee Stock Option (Right to Buy) $0.81 04/06/2021 04/06/2026 Common Stock 50,000(5) 525,000 D
Employee Stock Option (Right to Buy) $0.39 02/01/2022 02/01/2027 Common Stock 150,000(6) 525,000 D
Explanation of Responses:
1. Mr. H. W. Bromley was granted 50,000 stock options at CAD$0.30 (Approximately US$0.22) on February 21, 2023. These options vest at 2% per month.
2. Mr. H. Bromley was granted 175,000 stock options at CAD$0.54 (approximately US$0.42) on June 4, 2018. These options vest immediately.
3. Mr. H. Bromley was granted 50,000 stock options at CAD$0.45 (approximately US$0.33) on June 30, 2020. These options vest 2.08% per month commencing June 30, 2021.
4. Mr. H. Bromley was granted 50,000 stock options at CAD$0.50 (approximately US$0.39) on February 1, 2021. These options vest 10% on grant date, 15% after one year and 2% per month thereafter.
5. Mr. H. Bromley was granted 50,000 stock options at CAD$1.02 (approximately US$0.813) on April 6, 2021. These options vest at 2% per month.
6. Mr. H. Bromley was granted 150,000 stock options at CAD$0.50 (approximately US$0.39) on February 1, 2022. These options vest at 2% per month.
/S/ H. W. Bromley 02/24/2023
** 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.