0001144204-18-020657.txt : 20180416
0001144204-18-020657.hdr.sgml : 20180416
20180416142459
ACCESSION NUMBER: 0001144204-18-020657
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170829
FILED AS OF DATE: 20180416
DATE AS OF CHANGE: 20180416
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tracy Joel Daniel
CENTRAL INDEX KEY: 0001684720
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37899
FILM NUMBER: 18756319
MAIL ADDRESS:
STREET 1: 574 GLEN RIDGE DRIVE SOUTH
CITY: BRIDGEWATER
STATE: NJ
ZIP: 08807
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Alliance MMA, Inc.
CENTRAL INDEX KEY: 0001674227
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990]
IRS NUMBER: 475412331
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 590 MADISON AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 2127397825
MAIL ADDRESS:
STREET 1: 590 MADISON AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10022
4/A
1
tv491138_form4a.xml
OWNERSHIP DOCUMENT
X0306
4/A
2017-08-29
2018-01-26
0
0001674227
Alliance MMA, Inc.
AMMA
0001684720
Tracy Joel Daniel
C/O ALLIANCE MMA, INC.
590 MADISON AVENUE, 21ST FLOOR
NEW YORK
NY
10022
1
0
0
0
Common Stock par value $0.001
2017-08-29
4
P
0
45872
50000
A
334860
D
Warrant to Purchase Common Stock
1.50
2017-08-29
4
P
0
45872
A
2018-03-01
2020-08-28
Common Stock, par value $0.001
45872
45872
D
Warrant to Purchase Common Stock
1.50
2018-03-01
2020-08-28
Common Stock, par value $0.001
25000
70872
I
See Footnote
Warrant to Purchase Common Stock
1.75
2018-03-01
2020-08-28
Common Stock, par value $0.001
100000
170872
I
See Footnote
In addition to the 184,860 shares of common stock held directly, also includes 150,000 shares held by relations of Mr. Tracy. Mr. Tracy has voting and disposition power over the shares.
Fully vested warrants were issued in a prior reported purchase on the Form 4 filed on January 26, 2018. The warrants were issued at a rate of one warrant per one share of common stock at a unitprice of $1.09 per unit.
In addition to the 45,872 warrants held directly, also includes 125,000 warrants held be relations to Mr. Tracy. Mr. Tracy has voting and disposition power over the warrants.
The original Form 4, filed on January 26, 2018, is being amended by this Form 4 amendment to correct an administrative error, which misrepresented a purchase that occured on October 20, 2017,as a total of 45,872 shares of common stock, when in fact an equal number of warrants to purchase common stock were also included in that purchase, and the correct purchase date was August 29,2017. As a result of this administrative error, the number of derivative securites beneficially owned by the reporting person is 45,872.
/s/ Joel Tracy
2018-04-11