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Form 4 - filed by Healthier Choices Management Corp.
1 hour ago, 8:05 PM EST
Via SEC
Stocks mentioned: HCMC
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SEC Form 4
1. Name and Address of Reporting Person*
Holman Jeffrey Elliot
(Last)(First)(Middle)
3341 N.E. 165TH STREET
(Street)
NORTH MIAMI BEACHFL33160
(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
Healthier Choices Management Corp. [ HCMC ]5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director10% Owner
XOfficer (give title below)Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
02/12/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm 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. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction 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
Common Stock 11,000,000,000 D
Common Stock 02/12/2021 A 1,100,000,000(1) A $0 1,100,000,000 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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 Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option $0.0001 (2)(3) 02/01/2027 Common Stock 39,000,000,000 39,000,000,000 D
Explanation of Responses:
1. Shares of common stock granted pursuant to a time-based restricted stock award (RSA). This restricted common stock shall vest in 12.5% increments on the last day of each of the next eight calendar quarters commencing March 31, 2021, provided the Reporting Person has provided continuous service to the Issuer through the applicable vesting date.
2. These options are all fully vested.
3. Pursuant to the terms of the option agreement between the holder and the Issuer, the option may not be exercised if the exercise would result in the holder beneficially owning (as determined in accordance with Section 13(d) of the Securities Exchange Act of 1934) in excess of 19.99% of all of the common stock of the Issuer outstanding at such time.
Remarks:
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). Explanation of Responses: ** 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. Potential persons who are to respond to the collection of information contained in this form are not Required to respond unless the form displays a currently valid OMB Number.
/s/ Jeffrey E. Holman 02/17/2021
** Signature of Reporting Person Date
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