SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Beabout J. Steven

(Last) (First) (Middle)
885 ARAPAHOE ROAD

(Street)
BOULDER CO 80302

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/06/2020
3. Issuer Name and Ticker or Trading Symbol
SOBR Safe, Inc. [ SOBR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 25,482 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Convertible Promissory Note 06/08/2020 (1) Common Stock 120,000(2) $2.5 I Sky Startups, LLC
Convertible Promissory Note 06/08/2020 (1) Common Stock 122,634 $0.5 I Siena Properties, LLC
8% Series A-1 Preferred Stock 09/08/2020 (3) Common Stock 118,909(4) (4) I Siena Properties, LLC / SOBR Safe, LLC(5)
Explanation of Responses:
1. The promissory note does not expire.
2. The Reporting Person owns 94.242% of Sky Startups, LLC. Sky Startups, LLC can convert its promissory note into 120,000 shares of the Issuer's common stock. The entire amount of shares that could be issued to Sky Startups, LLC is listed on this Form 3.
3. The 8% Series A-1 Convertible Preferred Stock does not have an expiration date.
4. The number of shares is variable based on the average closing price of the Issuer's common stock. The 118,909 shares is estimated based on the closing stock price of $2.75 on December 18, 2020.
5. Siena Properties, LLC, an entity owned by the Reporting Person, owns 5% of SOBR Safe, LLC, which owns the 8% Series A-1 Convertible Preferred Stock of the Issuer. The number of shares shown on the Form 3 is only the estimated number of shares of the Issuer's common stock Siena Properties, LLC would be entitled to upon conversion of the 8% Series A-1 Convertible Preferred Stock.
/a/ Steven Beabout 12/31/2020
** 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 5 (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).
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