Douglas Baum - 06 Feb 2024 Form 4 Insider Report for QSAM Biosciences, Inc. (QSAM))

Role
CEO/Director, Director
Signature
/s/ Douglas Baum
Issuer symbol
QSAM)
Transactions as of
06 Feb 2024
Transactions value $
-$1
Form type
4
Filing time
13 Feb 2024, 16:00:24 UTC
Previous filing
23 Jun 2023
Next filing
02 May 2024
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction QSAM) Common Stock Conversion of derivative security $3,906 +1,302 +0.35% $3 376,849 06 Feb 2024 Direct

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction QSAM) Series B Convertible Preferred Stock Conversion of derivative security -$3,907 0 06 Feb 2024 Common Stock 1,302 $3 Direct F1
holding QSAM) Options to buy common stock 12,500 06 Feb 2024 Common Stock 12,500 $10 Direct F2
holding QSAM) Options to buy common stock 200 06 Feb 2024 Common Stock 200 $20 Direct F3
holding QSAM) Options to buy common stock 3,125 06 Feb 2024 Common Stock 3,125 $14.4 Direct F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The Series B Convertible Preferred Stock was convertible into common stock at any time and had no expiration date. Pursuant to an Exchange Agreement signed by and between the Issuer and all Series B Preferred Stockholders as of 11/18/23, the Series B Preferred Stock was automatically exchangeable for common stock of the Issuer at a price of $3.00 per share upon the Issuer listing on Nasdaq or signing an agreement to be acquired.
F2 The option vests annually in two equal installments beginning on 3/3/2023.
F3 The option vested annually in two equal installments beginning on 1/14/2021.
F4 The option vested semi-annually in two equal installments beginning on 2/24/2022.