0001213900-19-002365.txt : 20190213
0001213900-19-002365.hdr.sgml : 20190213
20190213161748
ACCESSION NUMBER: 0001213900-19-002365
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190211
FILED AS OF DATE: 20190213
DATE AS OF CHANGE: 20190213
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Samuels H. Benjamin
CENTRAL INDEX KEY: 0001661669
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37673
FILM NUMBER: 19597391
MAIL ADDRESS:
STREET 1: C/O WORKHORSE GROUP INC.
STREET 2: 100 COMMERCE DRIVE
CITY: LOVELAND
STATE: OH
ZIP: 45140
FORMER NAME:
FORMER CONFORMED NAME: Samuels Benjamin H.
DATE OF NAME CHANGE: 20151222
FORMER NAME:
FORMER CONFORMED NAME: Samules H. Benjamin
DATE OF NAME CHANGE: 20151222
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Workhorse Group Inc.
CENTRAL INDEX KEY: 0001425287
STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711]
IRS NUMBER: 261394771
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 100 COMMERCE DRIVE
CITY: LOVELAND
STATE: OH
ZIP: 45140
BUSINESS PHONE: 513-360-4704
MAIL ADDRESS:
STREET 1: 100 COMMERCE DRIVE
CITY: LOVELAND
STATE: OH
ZIP: 45140
FORMER COMPANY:
FORMER CONFORMED NAME: AMP Holding Inc.
DATE OF NAME CHANGE: 20100525
FORMER COMPANY:
FORMER CONFORMED NAME: Title Starts Online, Inc.
DATE OF NAME CHANGE: 20080128
4
1
ownership.xml
X0306
4
2019-02-11
0
0001425287
Workhorse Group Inc.
WKHS
0001661669
Samuels H. Benjamin
C/O WORKHORSE GROUP INC.,
100 COMMERCE DRIVE
LOVELAND
OH
45140
1
0
0
0
Common Stock, $0.001 par value per share
2019-02-11
4
P
0
420967
0.9502
A
439349
D
Common Stock, $0.001 par value per share
2019-02-11
4
P
0
420967
0.9502
A
420967
I
See Footnote
Common Stock, $0.001 par value per share
762532
I
See Footnote
Common Stock Purchase Warrant
5.28
2015-11-09
2020-11-09
Common Stock, Par Value
237467
237467
I
See Footnote
Stock Options
7.21
2016-08-16
2021-08-16
Common Stock, Par Value $0.001
10000
10000
D
Stock Options
7.01
2015-12-17
2020-12-17
Common Stock, Par Value $0.001
50000
50000
D
Common Stock Purchase Warrant
5.28
2015-12-04
2020-12-04
Common Stock, Par Value $0.001
142857
142857
I
See Footnote
10,000 of the options vested on December 17, 2015 and 4,000 shall vest every six (6) months thereafter on June 30 and December 31.
On November 9, 2015, Samuels 2012 Children's Trust UAD 10/28/12 (the "Trust") acquired a Stock Purchase Warrant to acquire 428,571 shares of common stock (the "Initial Warrant"). On December 4, 2015, the Trust acquired a Stock Purchase Warrant to acquire 142,857 shares of common stock. On January 5, 2016, convertible notes held by the Trust were automatically converted into 571,429 shares of common stock. Further, on September 14, 2016, the Trust exercised the Initial Warrant and received 143,500 shares of common stock for a purchase price of $757,680 or $5.28 per share and on November 18, 2016 the Trust exercised the Initial Warrant and received 47,604 shares of common stock for a purchase price of $251,349 or $5.28 per share.
H. Benjamin Samuels is a trustee and beneficiary of the Trust
2,500 of the options vested on August 16, 2016 and an additional 2,500 will vest every six months thereafter.
On February 11, 2019, the Marci Rosenberg 2012 Family Trust acquired 420,967 shares of common stock. Marci Rosenberg is the trustee of such trust. Mr. Rosenberg is the wife of H. Benjamin Samuels, a director of the Company.
/s/ H. Benjamin Samuels
2019-02-13