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Share Name | Share Symbol | Market | Type |
---|---|---|---|
Viscount Systems Inc (CE) | USOTC:VSYS | 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% | 0.000001 | 0.00 | 01:00:00 |
FORM 5
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
[ X ] Form 3 Holdings Reported [ X ] Form 4 Transactions Reported |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549 |
OMB APPROVAL
OMB Number: 3235-0362 Estimated average burden hours per response... 1.0 |
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1. Name and Address of Reporting Person * SIEGEL NED L | 2. Issuer Name and Ticker or Trading Symbol VISCOUNT SYSTEMS INC [VSYS] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below) __ X __ Other (specify below) Chairman of the Board |
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3. Statement for Issuer's Fiscal Year Ended
(MM/DD/YYYY)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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 |
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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) |
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Amount | (A) or (D) | Price | ||||||||
Common Stock | 3 | 625855 (1) | D | |||||||
Common Stock | 12/12/2014 | P4 | 80645 | A | $5052.18 | 706500 (2) | D | |||
Common Stock | 12/22/2014 | P4 | 110000 | A | $9955.75 | 816500 (3) | D | |||
Common Stock | 2/18/2015 | J4 (4) | 15950 | A | $1054.22 | 832450 | D | |||
Common Stock | 12/23/2015 | A4 | 1000000 | A | (5) | 1832450 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
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1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any |
4. 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 Date
(MM/DD/YYYY) |
7. 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 at End of Issuer's Fiscal Year
(Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4) |
11. Nature of Indirect Beneficial Ownership
(Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||||
Warrant | $0.20 | 3 | 3/11/2014 | 3/11/2019 | Common Stock | 277777 (1) | 277777 | D | |||||||
Warrant | $0.09 | 3 | 4/4/2014 | 4/4/2017 | Common Stock | 250000 (1) | 527777 | D | |||||||
Warrant | $0.09 | 4/14/2014 | A4 | 250000 | 4/14/2014 | 4/14/2017 | Common Stock | 250000 | (6) | 777777 | D | ||||
Warrant | $0.14 | 3/6/2015 | J4 (7) | 7975 | 3/6/2015 | 3/6/2020 | Common Stock | 7975 | (7) | 785752 | D |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
SIEGEL NED L
3835 N.W. BOCA RATON BLVD., SUITE 200 BOCA RATON, FL 33431 |
X |
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Chairman of the Board |
Signatures
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/s/ Ned L. Sigel | 2/19/2016 | |
** Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
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 Year Viscount Systems (CE) Chart |
1 Month Viscount Systems (CE) Chart |
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