Form 4 for BTCS BTCS Inc.

Accepted 2021-09-14 00:00:00 ET · period of report 2021-09-14 · accession 0001493152-21-022684 · SEC index · Original document

Summary rows

Aggregated the way they appear in lists: one row per insider, transaction code and security table.

X	Filed	Traded	Ticker	Insider	Title	Type	Price	Qty	Owned	ΔOwn	Value
D	2021-09-14	2021-09-14	BTCS	Handerhan Michal	COO, Dir, 10%	C - Cnv Deriv	—	+1.00M	1.05M	+2,006%	—
D	2021-09-14	2021-09-14	BTCS	Handerhan Michal	COO, Dir, 10%	C - Cnv Deriv	—	-275.0K	0	-100%	—

Purchase Sale Sale after option exercise All abbreviations

#	Table	Security	Date	Code	A/D	Shares	Price	Owned after	Own	Exercise / expiry	Underlying	Footnotes
1	Common	Common Stock	2021-09-14	C	A	1,002,942	—	1,052,942	D	—	—	(F1) The Series C-2 Preferred Stock (the "C-2") automatically converted into the issuer's common stock upon the issuer listing its Common Stock on The Nasdaq Stock Market, LLC. The conversion price was $1.70 per share, adjusted for the reverse stock split described in footnote (2) below. As previously disclosed, the C-2 would automatically convert into shares of common stock upon the earlier of: (i) the four-year anniversary of the initial issuance date, and (ii) the issuer's common stock being listed on a national securities exchange. (F2) Reflects a 1-for-10 reverse stock split which became effective in August 2021, prior to the filing date of this Form 4.
2	Derivative	Series C-2 Convertible Preferred Stock	2021-09-14	C	D	275,000	—	0	D	— · — to —	1,002,942 Common Stock	(F3) Not applicable. (F1) The Series C-2 Preferred Stock (the "C-2") automatically converted into the issuer's common stock upon the issuer listing its Common Stock on The Nasdaq Stock Market, LLC. The conversion price was $1.70 per share, adjusted for the reverse stock split described in footnote (2) below. As previously disclosed, the C-2 would automatically convert into shares of common stock upon the earlier of: (i) the four-year anniversary of the initial issuance date, and (ii) the issuer's common stock being listed on a national securities exchange.