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*
Hershhorn Mark

(Last) (First) (Middle)
1011 CAMPUS DRIVE

(Street)
MUNDELEIN IL 60060

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Z TRIM HOLDINGS, INC [ ZTHO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
08/31/2013
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 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 465,209 D
Common Stock 08/31/2013 08/31/2013 P 62,788 A $1.3(1) 527,997 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
Warrants $1 09/02/2013 C 24,615 09/02/2008 09/02/2013 Common Stock 24,615 $1 0 D
Warrants $1.5 08/31/2013 C 30,000 11/10/2010 11/10/2015 Common Stock 30,000 $1.5 0 D
Warrant $1.5 08/31/2013 C 22,500 01/07/2011 01/06/2016 Common Stock 22,500 $1.5 0 D
Warrant $1.5 08/31/2013 C 32,328 04/08/2011 05/13/2014 Common Stock 32,328 $1.5 0 D
Explanation of Responses:
1. Mr. Hershhorn, pursuant to a limited offering made by the Company to all holders of warrants with an exercise price of $1.50 per share that also contained anti-dilution provisions, agreed to exercise all of his $1.50 warrants on a cashless basis, resulting in net issuance of 38,173 shares of common stock from those cashless exercises. Additionally, Mr. Hershhorn exercised all of his $1.00 warrants for cash. The weighted average exercise price is $1.30.
Remarks:
/s/ Mark Hershhorn 09/03/2013
** 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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