0001013762-23-003538.txt : 20231012 0001013762-23-003538.hdr.sgml : 20231012 20231012161608 ACCESSION NUMBER: 0001013762-23-003538 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231010 FILED AS OF DATE: 20231012 DATE AS OF CHANGE: 20231012 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cook Geoffrey CENTRAL INDEX KEY: 0001534404 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38717 FILM NUMBER: 231322902 MAIL ADDRESS: STREET 1: 280 UNION SQUARE DRIVE CITY: NEW HOPE STATE: PA ZIP: 18938 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PALTALK, INC. CENTRAL INDEX KEY: 0001355839 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 203191847 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 30 JERICHO EXECUTIVE PLAZA STREET 2: SUITE 400E CITY: JERICHO STATE: NY ZIP: 11753 BUSINESS PHONE: (212) 594-5050 MAIL ADDRESS: STREET 1: 30 JERICHO EXECUTIVE PLAZA STREET 2: SUITE 400E CITY: JERICHO STATE: NY ZIP: 11753 FORMER COMPANY: FORMER CONFORMED NAME: PeerStream, Inc. DATE OF NAME CHANGE: 20180312 FORMER COMPANY: FORMER CONFORMED NAME: Snap Interactive, Inc DATE OF NAME CHANGE: 20071121 FORMER COMPANY: FORMER CONFORMED NAME: eTwine Holdings, Inc DATE OF NAME CHANGE: 20060310 4 1 ownership.xml X0508 4 2023-10-10 0 0001355839 PALTALK, INC. PALT 0001534404 Cook Geoffrey 30 JERICHO EXECUTIVE PLAZA, SUITE 400E JERICHO NY 11753 1 0 0 0 0 Stock Option (Right to Buy) 1.86 2023-10-10 4 A 0 100000 0 A 2024-10-10 2033-10-09 Common Stock 100000 100000 D The stock option was granted pursuant to a stock option agreement dated October 10, 2023 (the "Option Agreement"). The shares underlying this stock option will vest and become exercisable in four equal annual installments beginning on the first anniversary of the date of the grant, as long as the reporting person is providing services to Paltalk, Inc. on such dates; provided, that upon the effective date of a "change in control" (as defined in the Paltalk, Inc. 2016 Long-Term Incentive Plan), 100% of the then-unvested shares shall immediately vest and become fully exercisable, if not previously so exercisable, on the date of the change in control. /s/ Geoffrey Cook 2023-10-12