Form 4 for BLNE Beeline Holdings, Inc.

Accepted 2021-09-14 00:00:00 ET · period of report 2021-02-10 · accession 0001493152-21-022722 · 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
MI	2021-09-14	2021-02-10+	BLNE	KILKENNY STEPHANIE	Dir, 10%	A - Grant	$0.00	+1.43M	830.9K	New	$0

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	2021-04-19	A	A	598,223	$0.00	1,429,091	I See footnote	—	—	(F2) On April 19, 2021, the Issuer issued 598,223 shares of common stock to TQLA, LLC, which the Reporting Person, together with her spouse, owns and controls, pursuant to that certain Asset Purchase Agreement dated September 12, 2019 by and between the Issuer and Intersect. The inclusion of these securities in this report shall not be deemed an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
2	Common	Common Stock	2021-02-10	A	A	830,868	$0.00	830,868	I See footnote	—	—	(F1) On February 10, 2021, the Issuer issued 830,868 shares of common stock to TQLA, LLC, which the Reporting Person, together with her spouse, owns and controls, pursuant to that certain Asset Purchase Agreement dated September 12, 2019 by and between the Issuer and Intersect Beverage, LLC, a California limited liability company ("Intersect"). The inclusion of these securities in this report shall not be deemed an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.