SEC Form 5
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.
  
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
Spinner Peter

(Last) (First) (Middle)
101 HUDSON STREET
21ST FLOOR

(Street)
JERSEY CITY NJ 07302

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Mojo Organics, Inc. [ MOJO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Owner
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2016
4. 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 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 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, $0.001 par value 09/05/2014 P 2,660 A $0.2 1,577,660 D
Common Stock, $0.001 par value 09/16/2014 P 34,000 A $0.2 1,611,660 D
Common Stock, $0.001 par value 09/16/2014 P 9,000 A $0.19 1,620,660 D
Common Stock, $0.001 par value 09/25/2014 P 6,000 A $0.2 1,626,660 D
Common Stock, $0.001 par value 10/02/2014 P 6,000 A $0.2 1,632,660 D
Common Stock, $0.001 par value 01/03/2015 P 25,000 A $0.2 1,657,660 D
Common Stock, $0.001 par value 03/05/2015 P 6,690 A $0.2 1,664,350 D
Common Stock, $0.001 par value 03/26/2015 P 16,410 A $0.3 1,680,760 D
Common Stock, $0.001 par value 03/26/2015 P 2,600 A $0.24 1,683,360 D
Common Stock, $0.001 par value 07/14/2015 P 27,420 A $0.6 1,710,780 D
Common Stock, $0.001 par value 07/14/2015 P 20,230 A $0.55 1,731,010 D
Common Stock, $0.001 par value 07/15/2016 P 2,000 A $0.6 1,733,000 D
Common Stock, $0.001 par value 07/15/2016 P 9,000 A $0.59 1,742,010 D
Common Stock, $0.001 par value 07/15/2016 P 7,123 A $0.55 1,749,133 D
Common Stock, $0.001 par value 07/18/2016 P 2,000 A $0.06 1,751,133 D
Common Stock, $0.001 par value 07/25/2016 P 91 A $0.53 1,751,226 D
Common Stock, $0.001 par value 07/25/2016 P 3,000 A $0.5 1,754,226 D
Common Stock, $0.001 par value 08/09/2016 P 7,006 A $0.6 1,761,232 D
Common Stock, $0.001 par value 08/09/2016 P 18,600 A $0.45 1,779,832 D
Common Stock, $0.001 par value 08/11/2016 P 1,000 A $0.61 1,780,832 D
Common Stock, $0.001 par value 11/11/2016 P 24,272 A $0.49 1,805,104 D
Common Stock, $0.001 par value 12/19/2016 P 2,500 A $0.4 1,807,604 D
Common Stock, $0.001 par value 10,000 I Stephanie Spinner IRA(1)
Common Stock, $0.001 par value 150,000 I Peter & Stephanie Spinner JTTF
Common Stock, $0.001 par value 2,398,352 I Wyatts Torch Equity Partners LP(2)
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)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Common Stock Purchase Warrant $0.4 08/13/2015 P 1,500,000 08/13/2015 08/13/2020 Common Stock, par value $0.001 1,500,000 $0.4 1,500,000 I Wyatts Torch Equity Partners LP
Common Stock Purchase Warrant $0.91 03/13/2014 P 732,905 03/13/2014 03/13/2019 Common Stock, pay value $0.001 732,905 $0.91 732,905 I Wyatts Torch Equity Partners LP
Stock Options $0.255 08/14/2016 P 192,000 08/14/2016 08/14/2019 Common Stock, par value $0.001 192,000 $0.255 192,000 D
Explanation of Responses:
1. Mr. Spinner disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Spinner is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
2. Mr. Spinner is the portfolio manager and also the managing member of the general partner of Wyatts Torch Equity Partners LP, and as such, controls the voting and disposition of such shares. Mr. Spinner disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that Mr. Spinner is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
/s/ Peter Spinner 01/09/2017
** 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.
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