FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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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. | |||||||||||||||||
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Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ELEPHANT TALK COMMUNICATIONS CORP [ ETAK ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2014 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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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 at end of Issuer's Fiscal Year (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 | |||||||||||||
Common Stock | 09/30/2008 | A4(1) | 367,616 | A | $0 | 403,175 | D | ||||||||
Common Stock | 02/20/2009 | A4(2) | 1,000,000 | A | $0 | 403,175 | D | ||||||||
Common Stock | 03/31/2009 | A4(3) | 34,000 | A | $0 | 403,175 | D | ||||||||
Common Stock | 06/17/2009 | A4(4) | 16,667 | A | $0 | 403,175 | D | ||||||||
Common Stock | 06/30/2009 | A4(5) | 124,800 | A | $0 | 403,175 | D | ||||||||
Common Stock | 06/30/2009 | A4(6) | 150,000 | A | $0 | 403,175 | D | ||||||||
Common Stock | 01/08/2010 | S4 | 432,262 | D | $1 | 403,175 | D | ||||||||
Common Stock | 01/08/2010 | S4 | 2,000 | D | $1 | 403,175 | D | ||||||||
Common Stock | 01/15/2010 | S4 | 329,545 | D | $1.1 | 403,175 | D | ||||||||
Common Stock | 02/04/2010 | S4 | 24,390 | D | $1.4 | 403,175 | D | ||||||||
Common Stock | 02/08/2010 | S4 | 75,503 | D | $1.1 | 403,175 | D | ||||||||
Common Stock | 02/08/2010 | S4 | 48,780 | D | $1.4 | 403,175 | D | ||||||||
Common Stock | 02/08/2010 | S4 | 5,185 | D | $1.35 | 403,175 | D | ||||||||
Common Stock | 02/09/2010 | S4 | 6,312 | D | $1.1 | 403,175 | D | ||||||||
Common Stock | 02/09/2010 | S4 | 50,277 | D | $1.35 | 403,175 | D | ||||||||
Common Stock | 02/12/2010 | S4 | 6,637 | D | $1.1 | 403,175 | D | ||||||||
Common Stock | 02/12/2010 | S4 | 24,336 | D | $1.4 | 403,175 | D | ||||||||
Common Stock | 02/17/2010 | S4 | 93,900 | D | $1.1 | 403,175 | D | ||||||||
Common Stock | 02/22/2010 | S4 | 154,136 | D | $1.1 | 403,175 | D | ||||||||
Common Stock | 03/01/2010 | S4 | 162,336 | D | $1.25 | 403,175 | D | ||||||||
Common Stock | 03/03/2010 | S4 | 100,000 | D | $1.1 | 403,175 | D | ||||||||
Common Stock | 03/05/2010 | S4 | 120,000 | D | $1.1 | 403,175 | D | ||||||||
Common Stock | 03/15/2010 | S4 | 59,484 | D | $1.22 | 403,175 | D | ||||||||
Common Stock | 06/30/2010 | A4 | 546,092(7) | A | $0 | 403,175 | D | ||||||||
Common Stock | 09/01/2010 | P4 | 174,420(8) | A | $1.5 | 403,175 | D | ||||||||
Common Stock | 09/01/2010 | P4 | 198,501(9) | A | $1.5 | 403,175 | D | ||||||||
Common Stock | 09/08/2010 | S4 | 105,000 | D | $1.25 | 403,175 | D | ||||||||
Common Stock | 09/14/2010 | S4 | 79,550 | D | $1.25 | 403,175 | D | ||||||||
Common Stock | 09/15/2010 | P4 | 25,624(8) | A | $1.5 | 403,175 | D | ||||||||
Common Stock | 09/16/2010 | S4 | 20,000 | D | $1.25 | 403,175 | 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 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) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Warrant | $1.05 | 08/18/2008 | 4P | 357,172 | 08/18/2008 | 08/18/2015 | Common Stock | 357,172 | (10) | 892,930 | I | See footnote(10) | ||
Warrant | $1.26 | 08/18/2008 | 4P | 357,172 | 08/18/2008 | 08/18/2015 | Common Stock | 357,172 | (10) | 892,930 | I | See footnote(10) | ||
Warrant | $1.47 | 08/18/2008 | 4P | 178,586 | 08/18/2008 | 08/18/2015 | Common Stock | 178,586 | (10) | 892,930 | I | See footnote(10) | ||
Warrant | $1.26 | 08/18/2008 | 4J | 1,734,081 | 08/18/2008 | 08/18/2015 | Common Stock | 1,734,081 | (11) | 3,034,645 | I | See footnote(11) | ||
Warrant | $1.47 | 08/18/2008 | 4J | 867,041 | 08/18/2008 | 08/18/2015 | Common Stock | 867,041 | (11) | 3,034,645 | I | See footnote(11) | ||
Warrant | $1.05 | 08/18/2008 | 4J | 173,409 | 08/18/2008 | 08/18/2015 | Common Stock | 173,409 | (11) | 3,034,645 | I | See footnote(11) | ||
Warrant | $1.26 | 08/18/2008 | 4J | 173,409 | 08/18/2008 | 08/18/2015 | Common Stock | 173,409 | (11) | 3,034,645 | I | See footnote(11) | ||
Warrant | $1.47 | 08/18/2008 | 4J | 86,705 | 08/18/2008 | 08/18/2015 | Common Stock | 86,705 | (11) | 3,034,645 | I | See footnote(11) |
Explanation of Responses: |
1. These shares were issued at no cost to the Reporting Person in lieu of certain cash compensation for services provided by Steven van der Velden and Mark Nije during 2007 to 2009, pursuant to certain consulting agreements between the Company and the Reporting Person. |
2. These shares were issued at no cost to the Reporting Person in lieu of certain cash compensation for services provided by Johan Dejager and Yves Van Sante during 2008 pursuant to certain consulting agreements between the Company and the Reporting Person. |
3. Shares were issued to the Reporting Person for services provided by Quercus Management Group N.V. ("QMG") pursuant to a private placement agent agreement dated May 8, 2008 among the issuer, QMG and Amelia (the "2008 Placement Agent Agreement"). The Reporting Person owns 100% of outstanding capital stock of QMG and is therefore the beneficial owner of these shares. |
4. Shares were issued to the Reporting Person for services provided by QMG pursuant to the 2008 Placement Agent Agreement. The Reporting Person owns 100% of outstanding capital stock of QMG and is therefore the beneficial owner of these shares. |
5. These shares were issued at no cost to the Reporting Person in lieu of certain cash compensation for services provided by Steven van der Velden during 2008 pursuant to certain consulting agreement between the Company and the Reporting Person. |
6. These shares were issued at no cost to the Reporting Person in lieu of certain cash bonus for services provided by Steven van der Velden pursuant to certain consulting agreement between the Company and the Reporting Person |
7. Shares were issued at no cost to the Reporting Person in lieu of certain cash compensation for services provided by Steven van der Velden during the first and second quarter of 2010, pursuant to certain consulting agreement between the Company and the Reporting Person |
8. These shares were acquired by the Reporting Person from Rising Water Capital, A.G.("RWC"), in which the Reporting Person holds a 51.3% interest, in a private transaction pursuant to Regulation S; |
9. These shares were acquired by the Reporting Person from Yves Sante in a private transaction pursuant to Regulation S. |
10. These warrants were issued to QMG pursuant to the 2008 Placement Agent Agreement. The Reporting Person owns 100% of outstanding capital stock of QMG and is therefore the beneficial owner of these warrants. |
11. These warrants are held by RWC.in which the Reporting Person holds a 51.3% interest. RWC acquired these warrants pursuant to a Settlement Agreement dated May 13, 2008 between the Company and RWC. |
Remarks: |
Due to the EDGAR limitation that the maximum number of rows on a Form 5 is 30, the reporting person is filing two Form 5s for the fiscal year ended December 31, 2015. |
/s/ Bernard Moncarey | 03/27/2015 | |
** 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 Number. |