SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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).
1. Name and Address of Reporting Person*
Allen Daniel

(Last) (First) (Middle)
228 PARK AVENUE SOUTH,
SUITE 90959

(Street)
NEW YORK NY 10003

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SharpSpring, Inc. [ SHSP ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/09/2019
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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 2,515(1) D
common stock 519,304 I By Evercel Holdings LLC(2)
common stock 05/09/2019 C 1,241,635 A (3) 1,241,635 I By SHSP Holdings, LLC(4)
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
5% Convertible Promissory Note (3) 05/09/2019 C 0(3) 03/28/2018 03/28/2023 Common Stock 1,241,635 $0 0 I By SHSP Holdings, LLC(4)
1. Name and Address of Reporting Person*
Allen Daniel

(Last) (First) (Middle)
228 PARK AVENUE SOUTH,
SUITE 90959

(Street)
NEW YORK NY 10003

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Corona Investment Partners, LLC

(Last) (First) (Middle)
228 PARK AVENUE SOUTH,
SUITE 90959

(Street)
NEW YORK NY 10003

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
SHSP Holdings, LLC

(Last) (First) (Middle)
228 PARK AVENUE SOUTH,
SUITE 90959

(Street)
NEW YORK NY 10003

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Acquired directly from SharpSpring, Inc. (the "Registrant") for service as a director of the Registrant.
2. The reported securities are owned directly by Evercel Holdings LLC. Daniel Allen ("Allen") is the manager of Corona Park Investment Partners, LLC ("CPIP") and CPIP has shared dispositive power over the securities held by Evercel Holdings LLC. Allen and CPIP disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interest therein.
3. The 5% convertible promissory note in the principal amount of $8,000,000 (the "Note") was originally convertible for 1,066,667 shares of common stock at an effective conversion price of $7.50 per share. Pursuant to a Note Conversion Agreement entered into between the Registrant, Evercel Holdings LLC and SHSP Holdings, LLC on May 9, 2019, the parties thereto agreed to convert the Note into 1,241,635 shares of common stock.
4. The reported securities are owned directly by SHSP Holdings, LLC. Allen is the manager of CPIP and CPIP has sole voting and dispositive power over the securities held by SHSP Holdings, LLC. Allen and CPIP disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interest therein.
/s/ Daniel Allen 05/13/2019
/s/ Corona Park Investment Partners, LLC, by Daniel Allen 05/13/2019
/s/ SHSP Holdings, LLC, by Daniel Allen 05/13/2019
** 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).
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