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*
FAZZOLARI SALVATORE D

(Last) (First) (Middle)
C/O ORANGEHOOK, INC.
319 BARRY AVENUE SOUTH, SUITE 300

(Street)
WAYZATA MN 55391

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ORANGEHOOK, INC. [ ORHK ]
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)
07/17/2017
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 12/31/2017 J 6,517 A (1) 125,442 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
Series OH-2 Convertible Preferred Stock (2) (2) (2) Common Stock 14,300(2) 100(2) D
Series OH-2 Convertible Preferred Stock (2) 07/17/2017 P 100 (2) (2) Common Stock 14,300(2) $0 100(2) D
Common Stock Warrants (right to buy) $10 (3) 09/08/2021 Common Stock 25,000 25,000 D
Common Stock Warrants (right to buy) $7 (3) 12/02/2021 Common Stock 7,150 7,150 D
Common Stock Warrants (right to buy) $7 07/17/2017 P 7,150 (3) 07/17/2024 Common Stock 7,150 $0 7,150 D
10% Convertible Promissory Note $7 12/31/2017 J $175,000(5) (4) (4) Common Stock $17,547.95(4) $0 $17,547.95(4) D
Series OH-2 Convertible Preferred Stock (5) 12/31/2017 J 175 (2) (2) Common Stock 25,025 $0 175 D
Common Stock Warrants (right to buy) $7 12/31/2017 J 12,512.5(5) (3) 12/31/2024 Common Stock 12,512.5 $0 12,512.5 D
Explanation of Responses:
1. Pursuant to a Conversion Agreement, dated as of February 16, 2018, the Company issued shares of Common Stock in lieu of the payment of $32,580.84 of cash dividends accrued on shares of Series OH-2 Convertible Preferred Stock, at a conversion rate of one share of Common Stock per $5.00 of accrued dividends. The conversion was dated effective as of 12-31-17.
2. Each share of Series OH-2 Convertible Preferred Stock is convertible at any time at the election of the holder into 143 shares of Company common stock and does not have an expiration date.
3. Fully exercisable.
4. Note amount does not reflect accrued interest. Principal and interest are convertible at any time at the election of the holder, and the note is due on demand.
5. Pursuant to a Conversion Agreement, dated as of February 16, 2018, the Company issued Units, consisting of Series OH-2 Preferred Stock and Warrants, upon the conversion of outstanding debt, with a conversion price of one Unit per $1,000 of converted debt. The conversion was dated effective as of 12-31-17.
Remarks:
/s/ Ryan C. Brauer as Attorney-in-Fact for Salvatore D. Fazzolari pursuant to Power of Attorney previously filed. 02/23/2018
** 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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