UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Options to purchase Common Stock, par value $0.0001 | 10/08/2021(2) | 10/08/2026 | Common Stock | 25,000 | $ 5.35 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Cohen Andrew Scott C/O ORBSAT CORP. 18851 NE 29TH AVE., SUITE 700 AVENTURA,, FL 33180 |
SVP of Operations |
/s/ Andrew Scott Cohen | 10/26/2021 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Represents 25,000 shares of restricted common stock granted pursuant to an Employment Agreement and evidenced by a Restricted Stock Agreement, of which 10,000 shares of restricted common stock vested immediately upon issuance on October 21, 2021, with an additional 5,000 share of restricted common stock to be issued and to vest on each of October 8, 2022, October 8, 2023, and October 8, 2024. |
(2) | Options are fully vested. |