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MITI Mitesco Inc (PK)

0.45
0.00 (0.00%)
Last Updated: 14:49:30
Delayed by 15 minutes
Share Name Share Symbol Market Type
Mitesco Inc (PK) USOTC:MITI OTCMarkets Common Stock
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  0.00 0.00% 0.45 0.26 0.45 58 14:49:30

Statement of Changes in Beneficial Ownership (4)

22/03/2021 12:02pm

Edgar (US Regulatory)


FORM 4 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response...
0.5                       
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

KELLER PHILLIP J
2. Issuer Name and Ticker or Trading Symbol

Mitesco, Inc. [ MITI ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                    _____ 10% Owner
__X__ Officer (give title below)    _____ Other (specify below)
Chief Financial Officer
(Last)          (First)          (Middle)

610 CARLSON PARKWAY, SUITE 1050
3. Date of Earliest Transaction (MM/DD/YYYY)

3/17/2021
(Street)

MINNEAPOLIS, MN 55305
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security3. Trans. Date3A. Deemed Execution Date, if any4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Stock Option $0.31 3/17/2021  A   1000000     (1)3/16/2031 Common Stock 1000000 $0.00 1000000 D  

Explanation of Responses:
(1) The Options vest pursuant to the following schedule: (a) 250,000 shares upon the 90-day anniversary of the Grant Date, (b) 250,000 shares upon the Company's completion of a $10 million raise, (c) 250,000 shares on the one-year anniversary of the Grant Date, and (d) 250,000 shares once the Company files an Annual Report on Form 10-K that reports $20 million in gross revenue.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
KELLER PHILLIP J
610 CARLSON PARKWAY, SUITE 1050
MINNEAPOLIS, MN 55305


Chief Financial Officer

Signatures
/s/ Phillip J. Keller3/22/2021
**Signature of Reporting PersonDate

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