Douglas R. Baum - 23 Jun 2023 Form 4 Insider Report for QSAM Biosciences, Inc.

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
23 Jun 2023, 16:30:38 UTC
Prior SEC filing
04 Jan 2023
Next SEC filing
14 Feb 2024
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Douglas R. Baum

Key filing fact

Douglas R. Baum filed Form 4 for QSAM Biosciences, Inc. on 23 Jun 2023.

Key facts

  • This page summarizes Douglas R. Baum's Form 4 filing for QSAM Biosciences, Inc..
  • 1 reported transaction and 3 derivative rows are listed below.
  • Accepted by SEC: 23 Jun 2023, 16:30.

Change

  • Previous filing in this sequence was filed on 04 Jan 2023.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

QSAM transaction

Common Stock

Award

Transaction value
$0
Shares
+72,276
Change %
+24%
Price
$0.000000
Shares after
375,547
Date
23 Jun 2023
Ownership
Direct
Footnotes
F1
QSAM holding

Series B

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
684
Date
23 Jun 2023
Ownership
Direct
Footnotes
F2

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

QSAM holding Derivative

Options to buy common stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
12,500
Date
23 Jun 2023
Ownership
Direct
Underlying class
Common Stock
Underlying amount
12,500
Exercise price
$10.00
Footnotes
F3
QSAM holding Derivative

Options to buy common stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
200
Date
23 Jun 2023
Ownership
Direct
Underlying class
Common Stock
Underlying amount
200
Exercise price
$20.00
Footnotes
F4
QSAM holding Derivative

Options to buy common stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
3,125
Date
23 Jun 2023
Ownership
Direct
Underlying class
Common Stock
Underlying amount
3,125
Exercise price
$14.40
Footnotes
F5
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 5 footnotes

Footnote F1

This award of shares is being made pursuant to the Issuer's restricted stock award agreement and is subject to a vesting schedule, such that a portion or all of this award of restricted stock may be forfeited in the future if certain milestones are not met.

Footnote F2

Represents shares of Common Stock receivable upon conversion of Series B Preferred Stock at a conversion rate of $5.42 per share, and includes accrued dividends as of 05/31/2023.

Footnote F3

The option vests annually in two equal installments beginning on 3/3/2023.

Footnote F4

The option vests annually in two equal installments beginning on 1/14/2021.

Footnote F5

The option vests semi-annually in two equal installments beginning on 2/24/2022

We use cookies and similar technologies to provide certain features, enhance the user experience and, if you allow them, measure engagement and deliver advertising. Analytics and marketing storage stay off until you grant consent. By clicking on "Agree and continue", you declare your consent to the use of the selected optional cookies. Manage preferences to update or revoke optional consent for future visits. For more information, see our Privacy Policy .