Jeffrey Busch - 29 Nov 2022 Form 4 Insider Report for THERALINK TECHNOLOGIES, INC.

Reporting relationship: Director
Issuer ticker: N/A
Reported as of: 29 Nov 2022
Net transaction value: +$519,585
SEC form: 4
Accepted by SEC: 02 Feb 2024, 20:10:18 UTC
Prior SEC filing: 21 Sep 2022
Next SEC filing: 24 Feb 2023
Source filing: View source filing
Reporting owner signature: /s/ Jeffrey Busch

Key filing fact

Jeffrey Busch filed Form 4 for THERALINK TECHNOLOGIES, INC. on 02 Feb 2024.

Key facts

This page summarizes Jeffrey Busch's Form 4 filing for THERALINK TECHNOLOGIES, INC..
6 reported transactions and 6 derivative rows are listed below.
Accepted by SEC: 02 Feb 2024, 20:10.

Change

Previous filing in this sequence was filed on 21 Sep 2022.
Current net transaction value: +$519,585.

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 derivative securities

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

THER transaction Derivative

10% O.I.D. Senior Secured Convertible Debenture

Other

Transaction value: $309,485
Shares
Change %
Price
Shares after: $309,485
Date: 29 Nov 2022
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 103,161,667
Exercise price: $0.003000
Footnotes: F1, F2, F3, F4

THER transaction Derivative

10% O.I.D. Senior Secured Convertible Debenture

Award

Transaction value: $55,000
Shares
Change %
Price
Shares after: $55,000
Date: 29 Nov 2022
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 18,333,333
Exercise price: $0.003000
Footnotes: F1, F3, F4

THER transaction Derivative

10% O.I.D. Senior Secured Convertible Debenture

Award

Transaction value: $155,100
Shares
Change %
Price
Shares after: $155,100
Date: 22 Apr 2023
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 51,700,000
Exercise price: $0.003000
Footnotes: F1, F3

THER transaction Derivative

Common Stock Purchase Warrant

Other

Transaction value: $0
Shares: +88,424,286
Change %
Price: $0.000000
Shares after: 88,424,286
Date: 29 Nov 2022
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 88,424,286
Exercise price: $0.003000
Footnotes: F1, F2, F3, F5

THER transaction Derivative

Common Stock Purchase Warrant

Award

Transaction value: $0
Shares: +15,714,286
Change %
Price: $0.000000
Shares after: 15,714,286
Date: 29 Nov 2022
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 15,714,286
Exercise price: $0.003000
Footnotes: F1, F3, F5, F6

THER transaction Derivative

Common Stock Purchase Warrant

Award

Transaction value: $0
Shares: +44,314,286
Change %
Price: $0.000000
Shares after: 44,314,286
Date: 22 Apr 2023
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 44,314,286
Exercise price: $0.003000
Footnotes: F1, F7

^* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 7 footnotes

Footnote F1

Assumes a fixed conversion price of $0.003, but such conversion price is subject to adjustment as set forth in the debenture and warrant, respectively.

Footnote F2

The Reporting Person was issued a 10% Original Issue Discount ("O.I.D.") Senior Secured Convertible Debenture in the principal amount of $309,485 and 88,424,286 warrants in exchange for a demand promissory note in the principal amount of $250,000 previously issued to the Reporting Person.

Footnote F3

The debentures and warrants acquired by the Reporting Person are subject to mandatory conversion upon the occurrence of certain events, as outlined in the debentures and warrants. The original maturity date of the debentures was subsequently extended to February 29, 2024.

Footnote F4

Excludes shares issuable at the election of the Reporting Person upon conversion of accrued interest (both past and future) into shares of common stock.

Footnote F5

Expiration Date in the event a Qualified Offering is not consummated prior to the maturity date of the debentures the Warrants are issued in connection with.

Footnote F6

The Reporting Person purchased a 10% O.I.D. Senior Secured Convertible Debenture in the principal amount of $55,000 and 15,714,286 Warrants for an aggregate purchase price of $50,000 in a private placement offering that closed on November 29, 2022.

Footnote F7

The Reporting Person purchased a 10% O.I.D. Senior Secured Convertible Debenture in the principal amount of $155,100 and 44,314,286 Warrants for an aggregate purchase price of $141,000 in a private placement offering that closed on April 22, 2023.