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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
6% Convertible Debenture | $ 6.42 | 01/10/2017 | P | 311,526 | 01/10/2017 | 01/10/2019 | Common Stock, Par Value $0.001 | 311,526 | $ 6.42 | 311,526 | D | ||||
Common Stock Purchase Warrant | $ 1.5 | 01/06/2017 | X | 166,000 (6) | 05/23/2014 | 05/22/2017 | Common Stock, Par Value $0.001 | 0 | $ 0 | 0 | D (6) | ||||
Common Stock Purchase Warrant | $ 5.28 | 11/25/2015 | 11/25/2020 | Common Stock, Par Value $0.001 | 571,429 | 571,429 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LUKENS JOSEPH THEODORE JR C/O WORKHORSE GROUP INC., 100 COMMERCE DRIVE LOVELAND, OH 45140 |
X |
/s/ Joseph T. Lukens | 01/12/2017 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Mr. Lukens assigned an aggregate of 100,000 shares to various family trusts on March 9, 2016. |
(2) | Joseph T Lukens, Jr. and Gerald Budde, Co-Trustee of the Joseph T. Lukens, Jr. Irrevocable Trust for Nathan J. Lukens U/T/A Dated 2/23/2016 |
(3) | Joseph T Lukens, Jr. and Gerald Budde, Co-Trustee of the Joseph T. Lukens, Jr. Irrevocable Trust for Roman E. Lukens U/T/A Dated 2/23/2016 |
(4) | Mr. Lukens assigned 570,000 shares to Our Lady of America Ministries Inc., a Ohio 501(c)(3) charity controlled by Mr. Lukens. |
(5) | Mr. Lukens acquired 166,000 shares of common stock in connection with the exercise of a common stock purchase warrant on January 6, 2017 |
(6) | On January 6, 2017, Mr. Lukens exercised a common stock purchase warrant to acquire 166,000 shares of common stock at an exercise price of $1.50 per share. |
(7) | On September 13, 2016, the Joseph T Lukens, Jr. and Gerald Budde, Co-Trustee of the Joseph T. Lukens, Jr. Irrevocable Trust for Heidi H. Lukens U/T/A Dated 2/23/2016 transferred 25,000 shares of common stock to Heidi H. Lukens, Mr. Lukens' daughter. Heidi Lukens is not dependent on Mr. Lukens. |
(8) | On September 13, 2016, the Joseph T Lukens, Jr. and Gerald Budde, Co-Trustee of the Joseph T. Lukens, Jr. Irrevocable Trust for Chelsey L. Lukens U/T/A Dated 2/23/2016 transferred 25,000 shares of common stock to Chelsey L. Lukens, Mr. Lukens' daughter. Chelsey Lukens is not dependent on Mr. Lukens. |
Remarks: All prices and amounts are revised to reflect the 10:1 reverse split effective December 11, 2015. |