0001493152-21-022685.txt : 20210914 0001493152-21-022685.hdr.sgml : 20210914 20210914160545 ACCESSION NUMBER: 0001493152-21-022685 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210914 FILED AS OF DATE: 20210914 DATE AS OF CHANGE: 20210914 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Garrity David CENTRAL INDEX KEY: 0001720019 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40792 FILM NUMBER: 211252463 MAIL ADDRESS: STREET 1: 157 EAST 32ND STREET STREET 2: APT. 19B CITY: NEW YORK STATE: NY ZIP: 10016 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BTCS Inc. CENTRAL INDEX KEY: 0001436229 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 262477977 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9466 GEORGIA AVENUE #124 CITY: SILVER SPRING STATE: MD ZIP: 20910 BUSINESS PHONE: 202-430-6576 MAIL ADDRESS: STREET 1: 9466 GEORGIA AVENUE #124 CITY: SILVER SPRING STATE: MD ZIP: 20910 FORMER COMPANY: FORMER CONFORMED NAME: Bitcoin Shop, Inc. DATE OF NAME CHANGE: 20150422 FORMER COMPANY: FORMER CONFORMED NAME: BITCOIN SHOP INC. DATE OF NAME CHANGE: 20140204 FORMER COMPANY: FORMER CONFORMED NAME: TouchIT Technologies, Inc. DATE OF NAME CHANGE: 20100524 4 1 ownership.xml X0306 4 2021-09-14 0 0001436229 BTCS Inc. BTCS 0001720019 Garrity David 300 EAST 33RD ST., #4K, NEW YORK, NY 10016 1 0 0 0 Common Stock 2021-09-14 4 C 0 54706 A 79790 D Series C-2 Convertible Preferred Stock 2021-09-14 4 C 0 15000 D Common Stock 54706 0 D The Series C-2 Preferred Stock (the "C-2") automatically converted into the issuer's common stock upon the issuer listing its Common Stock on The Nasdaq Stock Market, LLC. The conversion price was $1.70 per share, adjusted for the reverse stock split described in footnote (2) below. As previously disclosed, the C-2 would automatically convert into shares of common stock upon the earlier of: (i) the four-year anniversary of the initial issuance date, and (ii) the issuer's common stock being listed on a national securities exchange. Reflects a 1-for-10 reverse stock split which became effective in August 2021, prior to the filing date of this Form 4. Not applicable. /s/ David Garrity__ 2021-09-14