0001415889-18-001646.txt : 20181115 0001415889-18-001646.hdr.sgml : 20181115 20181115151742 ACCESSION NUMBER: 0001415889-18-001646 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181113 FILED AS OF DATE: 20181115 DATE AS OF CHANGE: 20181115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dawson Grant Robert CENTRAL INDEX KEY: 0001465378 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52369 FILM NUMBER: 181187103 MAIL ADDRESS: STREET 1: C/O GLOWPOINT, INC. STREET 2: 430 MOUNTAIN AVENUE, SUITE 301 CITY: MURRAY HILL STATE: NJ ZIP: 07974 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FITLIFE BRANDS, INC. CENTRAL INDEX KEY: 0001374328 STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] IRS NUMBER: 000000000 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5214 S. 136TH STREET CITY: OMAHA STATE: NE ZIP: 68137 BUSINESS PHONE: 402-884-1894 MAIL ADDRESS: STREET 1: 5214 S. 136TH STREET CITY: OMAHA STATE: NE ZIP: 68137 FORMER COMPANY: FORMER CONFORMED NAME: BOND LABORATORIES, INC. DATE OF NAME CHANGE: 20060831 4 1 form4-11152018_121127.xml X0306 4 2018-11-13 0001374328 FITLIFE BRANDS, INC. FTLF 0001465378 Dawson Grant Robert C/O FITLIFE BRANDS, INC. 5214 S. 136TH STREET OMAHA NE 68137 true false false false Series A Preferred 0.46 2018-11-13 4 P 0 25 A 2018-11-13 Common Stock 54348 25 D Warrant 0.46 2018-11-13 4 P 0 16304 A 2018-11-13 2023-11-13 Common Stock 16304 16304 D Shares of the Issuer's Series A Preferred do not expire. The Reporting Person purchased 25 units ("Units") for $1,000 per Unit, with each Unit consisting of one share of the Issuer's Series A Preferred Stock, par value $0.01 per share, and a five-year warrant to purchase that number of shares of the Issuer's common stock equal to 30% of the shares of the Issuer's common stock issuable upon conversion of the Series A Preferred purchased by the Reporting Person. /s/ Grant R. Dawson 2018-11-15