Justin Gonzalez - Feb 14, 2022 Form 3 Insider Report for Boon Industries, Inc. (CSTF)

Role
Chief Executive Officer, Director
Signature
Justin Gonzalez
Stock symbol
CSTF
Transactions as of
Feb 14, 2022
Transactions value $
$0
Form type
3
Date filed
2/28/2022, 02:30 PM

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding CSTF Common Stock 33.3M Feb 14, 2022 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 CSTF Series A Preferred Stock Feb 14, 2022 Common Stock 250M Direct F1, F2
holding CSTF Series A Preferred Stock Feb 14, 2022 Common Stock 1.5B See Footnote F1, F2, F3
* 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 Preferred Stock may be converted into common stock at any time, provided that a holder of Series A Preferred Stock may not convert their shares into more than 4.99% of the issued and outstanding shares of common stock.
F2 Each share of Series A Preferred Stock has a stated value of $10.00 and is convertible into that number of shares of common stock equal to $10.00 divided by the closing market price of the common stock on the day of conversion. The amount of shares of common stock reported is based on the closing price of the common stock of $0.002 on date of the event requiring this report.
F3 These shares are held by Eaucentrix LLC, of which Mr. Gonzalez is the managing member.