Benjamin Tran - Mar 31, 2022 Form 3 Insider Report for Spine Injury Solutions, Inc (BTTC)

Role
Chief Executive Officer, Director, 10%+ Owner
Signature
/s/ Benjamin Tran
Stock symbol
BTTC
Transactions as of
Mar 31, 2022
Transactions value $
$0
Form type
3
Date filed
4/6/2022, 02:14 PM
Next filing
Apr 6, 2022

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 BTTC Series A Convertible Preferred Stock Mar 31, 2022 Common Stock 51.5M Direct F1, F2
holding BTTC Series A Convertible Preferred Stock Mar 31, 2022 Common Stock 51.5M By Spouse F1, F3
holding BTTC Series A Convertible Preferred Stock Mar 31, 2022 Common Stock 45.4M By United System Capital LLC F1, F4, F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each share of Series A Convertible Preferred Stock has no expiration date and is automatically convertible into 53.97561 shares of common stock upon obtaining shareholder and regulatory approvals and the Issuer's filing a certificate of amendment to the certificate of incorporation authorizing a sufficient number of shares of common stock to permit a full conversion of all issued and outstanding Series A Preferred Stock. Each share of Series A Convertible Preferred Stock is entitled to receive dividends and vote on an "as converted" basis with the common stock.
F2 Based on 954,277 shares of Series A Convertible Preferred Stock owned by the Reporting Person.
F3 Based on 954,277 shares of Series A Convertible Preferred Stock owned by the Reporting Person's spouse.
F4 Based on 841,481 shares of Series A Convertible Preferred Stock owned by United System Capital LLC.
F5 The Reporting Person is the manager of United System Capital LLC, has voting control over shares owned by United System Capital LLC, and may be deemed to have indirect beneficial ownership of all or a portion of the securities owned directly by United System Capital LLC, but disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.