James Walesa - Sep 9, 2021 Form 3 Insider Report for Clearday, Inc. (CLRD)

Role
Chief Executive Officer, Director, 10%+ Owner
Signature
/s/ James T. Walesa
Stock symbol
CLRD
Transactions as of
Sep 9, 2021
Transactions value $
$0
Form type
3
Date filed
9/10/2021, 06:49 PM
Next filing
Dec 9, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding CLRD Common Stock, par value $0.001 per share 1M Sep 9, 2021 Direct

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding CLRD Series F Preferred Stock Sep 9, 2021 Common Stock 623K Direct F1, F2
holding CLRD Warrants Sep 9, 2021 Common Stock 242K $5.00 Direct F1
holding CLRD AIU Alternative Care Inc. Series I Preferred Stock Sep 9, 2021 Common Stock 112K Direct F1, F3
holding CLRD Clearday Alternative Care OZ Fund LP Units Sep 9, 2021 Common Stock 26.8K Direct F1, F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each security may be converted or exchanged at the holder's option, but limited to the extent that reporting person's resulting beneficial ownership (incl. shares owned by reporting person's affiliates (as defined by the Securities Act) would exceed 4.99%, unless limitation is waived by the reporting person's by notice of at least 61 days to the Issuer. The reporting person has provided such notice.
F2 No exercise price or expiration date. Exchange rate for this security is 1 share of preferred stock to 2.384656 shares of common stock.
F3 Exchange rate equal to (i) the aggregate investment amount plus accrued dividends at 10.25% per annum (assumed $899,994 and $214,153 for the preferred stock and the limited partnership units, respectively), (ii) divided by 80% of the common stock 20 consecutive day volume weighted closing price preceding the conversion date (assumed $10.00).