0001493152-16-016266.txt : 20161229 0001493152-16-016266.hdr.sgml : 20161229 20161229091304 ACCESSION NUMBER: 0001493152-16-016266 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161222 FILED AS OF DATE: 20161229 DATE AS OF CHANGE: 20161229 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CACHET FINANCIAL SOLUTIONS, INC. CENTRAL INDEX KEY: 0001487906 STANDARD INDUSTRIAL CLASSIFICATION: TELEGRAPH & OTHER MESSAGE COMMUNICATIONS [4822] IRS NUMBER: 272205650 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 18671 LAKE DRIVE EAST STREET 2: SOUTHWEST TECH CENTER A CITY: MINNEAPOLIS STATE: MN ZIP: 55317 BUSINESS PHONE: 952-698-6980 MAIL ADDRESS: STREET 1: 18671 LAKE DRIVE EAST STREET 2: SOUTHWEST TECH CENTER A CITY: MINNEAPOLIS STATE: MN ZIP: 55317 FORMER COMPANY: FORMER CONFORMED NAME: DE Acquisition 2, Inc. DATE OF NAME CHANGE: 20100324 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAVIS JAMES L CENTRAL INDEX KEY: 0000901152 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37913 FILM NUMBER: 162073668 MAIL ADDRESS: STREET 1: 4800 IDS CENTER STREET 2: 80 SOUTH EIGHTH ST CITY: MINNEAPOLIS STATE: MN ZIP: 55402 4 1 form4.xml X0306 4 2016-12-22 0 0001487906 CACHET FINANCIAL SOLUTIONS, INC. CAFN 0000901152 DAVIS JAMES L 18671 LAKE DRIVE EAST SOUTHWEST TECH CENTER A MINNEAPOLIS MN 55317 1 0 0 0 Warrant to Purchase Common Stock 4.94 2016-12-28 4 A 0 16667 4.94 A 2016-12-28 2021-12-28 Common Stock 16667 16667 D Warrant to Purchase Common Stock 5.55 2016-12-22 4 A 0 2253 5.55 A 2016-12-22 2021-12-22 Common Stock 2253 2253 D Pursuant to a Note Payable agreement, dated February 11, 2016, amended March 29, 2016, and July 27, 2016, between the Issuer and the reporting person, the reporting person was issued warrants as pursuant to the terms of the Note Payable. Issued pursuant to a convertible promissory note. The exercise price of the warrants is the lower of $5.55 and 80% of the per share price of the Issuer's common stock in the Issuer's next underwritten public offering. /s/ Bryan D. Meier, Attorney-in-fact 2016-12-29