Michael Hill - 09 Jul 2021 Form 4 Insider Report for BLOOMIOS, INC.

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
4
Accepted by SEC
11 Aug 2021, 13:35:13 UTC
Next SEC filing
24 Oct 2025
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Michael Hill

Key filing fact

Michael Hill filed Form 4 for BLOOMIOS, INC. on 11 Aug 2021.

Key facts

  • This page summarizes Michael Hill's Form 4 filing for BLOOMIOS, INC..
  • 5 reported transactions and 3 derivative rows are listed below.
  • Accepted by SEC: 11 Aug 2021, 13:35.

Change

  • No earlier filing in this sequence is available for direct comparison.
  • 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.

BLMS transaction

Common Stock

Other

Transaction value
Shares
+2,810,698
Change %
+223%
Price
Shares after
4,073,823
Date
09 Jul 2021
Ownership
Direct
Footnotes
F5
BLMS transaction

Common Stock

Other

Transaction value
Shares
+1,263,125
Change %
+45%
Price
Shares after
4,073,823
Date
09 Jul 2021
Ownership
By MCC
Footnotes
F1, F5

Reported derivative securities

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

BLMS transaction Derivative

Series A Preferred Stock

Other

Transaction value
Shares
+5,000
Change %
Price
Shares after
0
Date
09 Jul 2021
Ownership
Direct
Underlying class
Common Stock
Underlying amount
Exercise price
Footnotes
F2, F4
BLMS transaction Derivative

Series B Preferred Stock

Other

Transaction value
Shares
+214
Change %
Price
Shares after
0
Date
09 Jul 2021
Ownership
Direct
Underlying class
Common Stock
Underlying amount
Exercise price
Footnotes
F3, F4
BLMS transaction Derivative

Series B Preferred Stock

Other

Transaction value
Shares
+86
Change %
Price
Shares after
0
Date
09 Jul 2021
Ownership
0
Underlying class
Common Stock
Underlying amount
Exercise price
Footnotes
F1, F3, F4
* 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

The shares are held by Mammoth Crest Capital, LLC, of which the Reporting Person is a 50% member and owner.

Footnote F2

The Series A Preferred Stock shall with respect to distributions of assets and rights upon the occurrence of a Liquidation rank (i) senior to the common stock of the Corporation and (ii) senior to each other class or series of Capital Stock of the Corporation hereafter created which does not expressly rank pari passu with or senior to the Series A Preferred Stock (collectively with the common stock, the "Junior Stock"). In addition to any voting rights provided by law, the holders of shares of Series A Preferred Stock shall have the following rights: Each share of Series A Preferred Stock shall entitle the holder thereof to vote, in person or by proxy, at a special or annual meeting of stockholders (or in any action by written consent), on all matters voted on by holders of common stock voting together as a single class with other shares entitled to vote thereon. With respect to any such vote, each share of Series A Preferred Stock shall entitle the holder thereof to cast such number of votes equal to 0.0051 % of the total number of votes entitled to be cast. For purposes of clarification, the holders of all 10,000 shares of Series A Preferred Stock will have the right to cast an aggregate of 51% of the total number of votes entitled to be cast. Automatic Conversion/Redemption. Effective upon the closing of a Qualified Financing, defined as a financing in excess of $10 million, all issued and outstanding shares of Series A Stock shall be automatically converted into Common Stock of the Company (the "Automatic Conversion") at a rate of 50 shares of Common Stock per Series A or redeemed by the Company at a rate of $100 per Series A Stock, at the holder's option.

Footnote F3

The shares of Series B Preferred Stock may, at any time, at the option of the holder, be converted into fully paid and non-assessable shares of Common Stock (a "Voluntary Conversion".) The number of shares of Common Stock to which a holder of Series B Stock shall be entitled upon a Conversion shall be the product obtained by multiplying the "Series B Stock Conversion Rate" then in effect (determined as provided in Section 3(b)) by the number of shares of Series B Stock being converted. (b) Series B Stock Conversion Rate. The conversion rate in effect at any time for conversion of the Series B Stock (the "Series B Stock Conversion Rate") shall be the product obtained by multiplying .001 by the aggregate number of the Company's Common Stock, on a fully diluted basis, issued and outstanding at the time of the Conversion. For the purposes of calculating the Series B Stock Conversion Rate, the Company's Common Stock on a fully diluted basis, shall equal the sum of (a) the aggregate number of shares of Common Stock issued, outstanding and agreed to be issued, on the date of the Conversion (the "Conversion Date"), and (b) the aggregate number of shares of Common Stock into which any options, warrants, convertible debt, convertible preferred stock, and other convertible securities of the Company which are Issued and outstanding, and which the Company has agreed to issue, are convertible at the time of the Conversion. Automatic Conversion. Effective upon the closing of a Qualified Financing (a financing of at least $10,000,000) the Series B Stock shall be automatically converted into common stock at the rate specified in Section 3(b). There is no expiration date applicable to the Series B Preferred Stock.

Footnote F4

N/A

Footnote F5

The shares were issued as part of an acquisition.

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