Douglas R. Baum - 06 Feb 2024 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
13 Feb 2024, 16:00:24 UTC
Prior SEC filing
23 Jun 2023
Next SEC filing
02 May 2024
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Douglas Baum

Key filing fact

Douglas R. Baum filed Form 4 for QSAM Biosciences, Inc. on 13 Feb 2024.

Key facts

  • This page summarizes Douglas R. Baum's Form 4 filing for QSAM Biosciences, Inc..
  • 2 reported transactions and 4 derivative rows are listed below.
  • Accepted by SEC: 13 Feb 2024, 16:00.

Change

  • Previous filing in this sequence was filed on 23 Jun 2023.
  • Current net transaction value: -$1.

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

Conversion of derivative security

Transaction value
$3,906
Shares
+1,302
Change %
+0.35%
Price
$3.00
Shares after
376,849
Date
06 Feb 2024
Ownership
Direct

Reported derivative securities

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

QSAM) transaction Derivative

Series B Convertible Preferred Stock

Conversion of derivative security

Transaction value
$3,907
Shares
Change %
Price
Shares after
0
Date
06 Feb 2024
Ownership
Direct
Underlying class
Common Stock
Underlying amount
1,302
Exercise price
$3.00
Footnotes
F1
QSAM) holding Derivative

Options to buy common stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
12,500
Date
06 Feb 2024
Ownership
Direct
Underlying class
Common Stock
Underlying amount
12,500
Exercise price
$10.00
Footnotes
F2
QSAM) holding Derivative

Options to buy common stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
200
Date
06 Feb 2024
Ownership
Direct
Underlying class
Common Stock
Underlying amount
200
Exercise price
$20.00
Footnotes
F3
QSAM) holding Derivative

Options to buy common stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
3,125
Date
06 Feb 2024
Ownership
Direct
Underlying class
Common Stock
Underlying amount
3,125
Exercise price
$14.40
Footnotes
F4
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 4 footnotes

Footnote F1

The Series B Convertible Preferred Stock was convertible into common stock at any time and had no expiration date. Pursuant to an Exchange Agreement signed by and between the Issuer and all Series B Preferred Stockholders as of 11/18/23, the Series B Preferred Stock was automatically exchangeable for common stock of the Issuer at a price of $3.00 per share upon the Issuer listing on Nasdaq or signing an agreement to be acquired.

Footnote F2

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

Footnote F3

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

Footnote F4

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

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