0001213900-20-030193.txt : 20201005
0001213900-20-030193.hdr.sgml : 20201005
20201005215146
ACCESSION NUMBER: 0001213900-20-030193
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200804
FILED AS OF DATE: 20201005
DATE AS OF CHANGE: 20201005
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Patterson Mark Richard
CENTRAL INDEX KEY: 0001822807
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39500
FILM NUMBER: 201225452
MAIL ADDRESS:
STREET 1: C/O JERRICK MEDIA HOLDINGS INC.
STREET 2: 2050 CENTER AVENUE, SUITE 640
CITY: FORT LEE
STATE: NJ
ZIP: 07024
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Creatd, Inc.
CENTRAL INDEX KEY: 0001357671
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ALLIED TO MOTION PICTURE PRODUCTION [7819]
IRS NUMBER: 870645394
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: POLYGON PLAZA
STREET 2: 2050 CENTER AVENUE
CITY: FORT LEE
STATE: NJ
ZIP: 07024
BUSINESS PHONE: 201-258-3770
MAIL ADDRESS:
STREET 1: POLYGON PLAZA
STREET 2: 2050 CENTER AVENUE
CITY: FORT LEE
STATE: NJ
ZIP: 07024
FORMER COMPANY:
FORMER CONFORMED NAME: Jerrick Media Holdings, Inc.
DATE OF NAME CHANGE: 20160304
FORMER COMPANY:
FORMER CONFORMED NAME: Great Plains Holdings, Inc.
DATE OF NAME CHANGE: 20131213
FORMER COMPANY:
FORMER CONFORMED NAME: LILM, INC.
DATE OF NAME CHANGE: 20060329
4
1
ownership.xml
OWNERSHIP DOCUMENT
X0306
4
2020-08-04
0
0001357671
Creatd, Inc.
CRTD
0001822807
Patterson Mark Richard
C/O CREATD, INC.
2050 CENTER AVENUE, SUITE 640
FORT LEE
NJ
07024
1
0
0
0
Common Stock
2020-08-04
4
P
0
700
3.04
A
700
D
Common Stock
2020-08-04
4
P
0
100
3.05
A
800
D
Common Stock
2020-08-04
4
P
0
100
3.14
A
900
D
Common Stock
2020-08-06
4
P
0
1000
3.00
A
1900
D
Common Stock
2020-08-10
4
P
0
400
2.675
A
2300
D
Common Stock
2020-08-10
4
P
0
300
2.75
A
2600
D
Common Stock
2020-08-10
4
P
0
300
2.85
A
2900
D
Common Stock
2020-08-10
4
P
0
400
3.06
A
3300
D
Common Stock
2020-08-10
4
P
0
1200
3.07
A
4500
D
Common Stock
2020-08-11
4
P
0
1000
2.44
A
5500
D
Common Stock
2020-08-11
4
P
0
1000
2.60
A
6500
D
Common Stock
2020-08-11
4
P
0
2000
2.90
A
8500
D
Common Stock
2020-08-11
4
P
0
3470
2.14
A
11970
D
Common Stock
2020-08-11
4
P
0
530
2.20
A
12500
D
Common Stock
2020-09-15
4
C
0
13139
A
17306
D
Common Stock
2020-09-15
4
C
0
12813
A
30119
D
Common Stock
2020-09-15
4
C
0
55613
A
85732
D
Convertible Note
2020-09-15
4
C
0
50000
D
2019-02-26
2020-02-26
Common Stock
13139
0
D
Convertible Note
2020-09-15
4
C
0
50000
D
2019-02-26
2020-02-26
Warrants (right to buy)
13218
0
D
Warrants (right to buy)
4.5
2020-09-15
4
C
0
13218
A
2020-09-15
2025-09-15
Common Stock
13218
13218
D
Convertible Note
2020-09-15
4
C
0
50000
D
2019-05-07
2020-05-07
Common Stock
12813
0
D
Convertible Note
2020-09-15
4
C
0
50000
D
2019-05-07
2020-05-07
Warrants (right to buy)
12897
0
D
Warrants (right to buy)
4.5
2020-09-15
4
C
0
12897
A
2020-09-15
2025-09-15
Common Stock
12897
26115
D
Convertible Note
2020-09-15
4
C
0
175005
D
2019-11-08
2020-05-08
Common Stock
55613
0
D
Equal to the Uplist Pricing.
The lesser of $15 or 80% of the Uplist Pricing.
On August 17, 2020, a 1:3 reverse stock split was effectuated, resulting in a reduction of shares from 12,500 to 4,167. The shares resulting from conversion of the convertible notes have been added to the 4,167 shares owned after the reverse stock split.
This Note was converted into shares of common stock, as reported in Table I.
This Note was converted into warrants.
These warrants were obtained as a result of the conversion of the Convertible Notes listed in Table II.
The transactions reported in Table II, Rows 1 through 3 reflect the conversion of a single Convertible Note into 13,139 shares of Common Stock and 13,218 warrants.
The transactions reported in Table II, Rows 4 through 6 reflect the conversion of a single Convertible Note into 12,813 shares of Common Stock and 12,897 warrants.
/s/ Mark Patterson
2020-10-05