0001415889-19-000803.txt : 20190625
0001415889-19-000803.hdr.sgml : 20190625
20190625190250
ACCESSION NUMBER: 0001415889-19-000803
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190621
FILED AS OF DATE: 20190625
DATE AS OF CHANGE: 20190625
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Keller Michael R
CENTRAL INDEX KEY: 0001768576
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38819
FILM NUMBER: 19919667
MAIL ADDRESS:
STREET 1: 2906 COLORADO AVE
CITY: SANTA MONICA
STATE: CA
ZIP: 90404
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Super League Gaming, Inc.
CENTRAL INDEX KEY: 0001621672
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-AMUSEMENT & RECREATION SERVICES [7900]
IRS NUMBER: 471990734
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2906 COLORADO AVE
CITY: SANTA MONICA
STATE: CA
ZIP: 90404
BUSINESS PHONE: 802-294-2754
MAIL ADDRESS:
STREET 1: 2906 COLORADO AVE
CITY: SANTA MONICA
STATE: CA
ZIP: 90404
FORMER COMPANY:
FORMER CONFORMED NAME: Nth Games, Inc.
DATE OF NAME CHANGE: 20141007
4
1
form4-06252019_040637.xml
X0306
4
2019-06-21
0001621672
Super League Gaming, Inc.
SLGG
0001768576
Keller Michael R
C/O SUPER LEAGUE GAMING, INC.
2906 COLORADO AVE.
SANTA MONICA
CA
90404
true
false
false
false
Common Stock
2009-06-21
4
P
0
3300
8.0709
A
100301
I
By the Michael R. Keller Trust
Common Stock
2854
I
By the Keller 2004 IRR Trust FBO William
Common Stock
2854
I
By the Keller 2004 IRR Trust FBO Charles
Common Stock Purchase Warrant
9.35
2018-05-28
2023-05-28
Common Stock
54465
54465
I
By the Michael R. Keller Trust
Common Stock Purchase Warrant
9.35
2018-05-30
2023-05-30
Common Stock
10696
10696
I
By the Michael R. Keller Trust
Common Stock Purchase Warrant
9.35
2018-08-17
2023-08-17
Common Stock
21070
21070
I
By the Michael R. Keller Trust
Common Stock Purchase Warrant
10.80
2018-03-14
2023-03-14
Common Stock
9260
9260
I
By the Michael R. Keller Trust
Common Stock Purchase Warrant
9.35
2018-08-17
2023-08-17
Common Stock
2674
2674
I
By the Keller 2004 IRR Trust FBO William
Common Stock Purchase Warrant
9.35
2018-08-17
2023-08-17
Common Stock
2674
2674
I
By the Keller 2004 IRR Trust FBO Charles
Includes 91,546 shares issued to the Michael R. Keller Trust (the "Keller Trust") upon conversion of 9.00% Secured Convertible Promissory Notes (the "Notes") previously issued to the Keller Trust. The outstanding principal and all accrued but unpaid interest on the Notes were automatically converted into shares of the Issuer's common stock in connection with the Issuer's initial public offering on February 27, 2019.
Includes 2,854 shares issued to the Keller 2004 IRR Trust FBO William (the "FBO William Trust") upon conversion of 9.00% Secured Convertible Promissory Notes (the "Notes") previously issued to the FBO William Trust. The outstanding principal and all accrued but unpaid interest on the Notes were automatically converted into shares of the Issuer's common stock in connection with the Issuer's initial public offering on February 27, 2019.
Includes 2,854 shares issued to the Keller 2004 IRR Trust FBO Charles (the "FBO Charles Trust") upon conversion of 9.00% Secured Convertible Promissory Notes (the "Notes") previously issued to the FBO Charles Trust. The outstanding principal and all accrued but unpaid interest on the Notes were automatically converted into shares of the Issuer's common stock in connection with the Issuer's initial public offering on February 27, 2019.
/s/ Clayton Haynes, Attorney-in-Fact
2019-06-25