Tuesday, March 13, 2018 1:00:52 PM
Source: Edgar (US Regulatory)
FORM 5
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
[ ] Form 3 Holdings Reported
[ ] Form 4 Transactions Reported UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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 *
Giordano Enrico
2. Issuer Name and Ticker or Trading Symbol
ADVANCED CREDIT TECHNOLOGIES INC [ACRT]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__ X __ Director _____ 10% Owner
__ X __ Officer (give title below) _____ Other (specify below)
Vice President
(Last) (First) (Middle)
740 S. FEDERAL HWY #606
3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY)
12/31/2017
(Street)
PAMPANO BEACH, FL 33062
(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)
Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
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)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Annual Stock Award 7/28/2017 A 100000 (2) (2) Common Stock 100000 $0.00 5100000 D
Incentive Stock Option Award 7/28/2017 A 500000 (3) (4) Common Stock 500000 $0.00 5600000 D
Incentive Stock Option Award 7/28/2017 A 500000 (3) (4) Common Stock 500000 $0.00 6100000 D
Incentive Stock Option Award 7/28/2017 A 500000 (3) (4) Common Stock 500000 $0.00 6600000 D
Incentive Stock Option Award 7/28/2017 A 500000 (3) (4) Common Stock 500000 $0.00 7100000 D
Incentive Stock Option Award 7/28/2017 A 500000 (3) (4) Common Stock 500000 $0.00 7600000 D
Incentive Stock Option Award 7/28/2017 A 500000 (3) (4) Common Stock 500000 $0.00 8100000 D
Incentive Stock Option Award 7/28/2017 A 500000 (3) (4) Common Stock 500000 $0.00 8600000 D
Incentive Stock Option Award 7/28/2017 A 500000 (3) (4) Common Stock 500000 $0.00 9100000 D
Incentive Stock Option Award 7/28/2017 A 500000 (3) (4) Common Stock 500000 $0.00 9600000 D
Explanation of Responses:
(1) Strike Price for each Incentive Stock Option Award shall be set at 110% of the average of the closing bid price for the ten days preceding the Company's achievement of each milestone.
(2) Annual Stock Awards are awarded annually starting on 7/28/2018 and will continue to be received annually so long as the Executive is in continous service to the Company as defined by the Employment Agreement.
(3) Each Incentive Stock Option Award is earned upon the Company's achieving increments of $1,000,000 in Gross Revenue (the "milestone") up until the Company achieves $10,000,000 in cumulative Gross Revenue.
(4) Each Incentive Stock Option award expires 5 years from the date each milestone is achieved.
(5) The annual stock award is a stock grant based on continuous years of service to the Company and therefore does not have an exercise price.
Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Giordano Enrico
740 S. FEDERAL HWY #606
PAMPANO BEACH, FL 33062 X
Vice President
Signatures
/s/ Enrico Giordano 2/16/2018
** 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.
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