0001750219-23-000017.txt : 20231030 0001750219-23-000017.hdr.sgml : 20231030 20231030152650 ACCESSION NUMBER: 0001750219-23-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231027 FILED AS OF DATE: 20231030 DATE AS OF CHANGE: 20231030 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHANG DENNIS CENTRAL INDEX KEY: 0001750219 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55613 FILM NUMBER: 231359917 MAIL ADDRESS: STREET 1: 117 E LOUISA STREET CITY: SEATTLE STATE: WA ZIP: 98102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Voip-pal.com Inc CENTRAL INDEX KEY: 0001410738 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE & TELEGRAPH APPARATUS [3661] IRS NUMBER: 980184110 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 7215 BOSQUE BLVD STREET 2: SUITE 102 CITY: WACO STATE: TX ZIP: 76710 BUSINESS PHONE: 253-219-9512 MAIL ADDRESS: STREET 1: 7215 BOSQUE BLVD STREET 2: SUITE 102 CITY: WACO STATE: TX ZIP: 76710 4 1 primary_doc.xml PRIMARY DOCUMENT X0508 4 2023-10-27 0 0001410738 Voip-pal.com Inc VPLM 0001750219 CHANG DENNIS 117 E LOUISA STREET SEATTLE WA 98102 1 0 0 0 0 COMMON 2023-10-27 4 M 0 5000000 0.005 A 5000000 D COMMON 2023-10-27 4 F 0 1351351 0.0185 D 3648649 D WARRANTS 0.005 2022-05-30 2027-05-30 COMMON 35000000 35000000 D Reflects 1,351,351 shares withheld by issuer at the market price of $0.0185 per share less an exercise price of $0.005 per share to fund the cashless exercise of 5,000,000 options owned by the Reporting Person pursuant to the Plan and related Award Agreement The transactions reported above in Table I that relate to the exercise of stock options reflect the cashless exercise transactions. The cashless exercise for each set of options is reported in two lines. The first line of the cashless exercise transaction is coded M in column 3 of Table I and reports in column 4 the number of shares issuable upon exercise of the options had cash been paid to exercise the options, together with the exercise price with Code A for acquired. The line coded F in column 3 of Table I relates to the same cashless exercise on the preceding line and reports in Column 4 the number of shares deducted from the total number of shares issuable to pay for the cashless exercise of such options with Code D for disposed. The number of derivative securities owned after the transactions reported in Table I are the warrants to purchase a total of 35,000,000 shares of common stock listed in column 9 of Table II. DENNIS CHANG 2023-10-27