0001654954-19-013439.txt : 20191127 0001654954-19-013439.hdr.sgml : 20191127 20191127215206 ACCESSION NUMBER: 0001654954-19-013439 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20160219 FILED AS OF DATE: 20191127 DATE AS OF CHANGE: 20191127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Solomita Daniel CENTRAL INDEX KEY: 0001649149 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38301 FILM NUMBER: 191259678 MAIL ADDRESS: STREET 1: 1999 AVENUE OF THE STARS, SUITE 2520 CITY: LOS ANGELES STATE: CA ZIP: 90067 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Loop Industries, Inc. CENTRAL INDEX KEY: 0001504678 STANDARD INDUSTRIAL CLASSIFICATION: CHEMICALS & ALLIED PRODUCTS [2800] IRS NUMBER: 272094706 STATE OF INCORPORATION: NV FISCAL YEAR END: 0228 BUSINESS ADDRESS: STREET 1: 480 FERNAND POITRAS CITY: TERREBONNE STATE: A8 ZIP: J6Y 1Y4 BUSINESS PHONE: 781-821-6600 MAIL ADDRESS: STREET 1: 480 FERNAND POITRAS CITY: TERREBONNE STATE: A8 ZIP: J6Y 1Y4 FORMER COMPANY: FORMER CONFORMED NAME: FIRST AMERICAN GROUP INC. DATE OF NAME CHANGE: 20101101 4 1 section16.xml FORM 4 X0306 4 2016-02-19 0001504678 Loop Industries, Inc. LOOP 0001649149 Solomita Daniel 480 FERNAND POITRAS TERREBONNE A8 J6Y1Y4 QUEBEC, CANADA true true true President and CEO Common stock 2016-11-15 4 P false 1600000 .0001 A 18600000 I See footnote Common stock 2019-10-15 4 A false 4000000 0 A 4000000 D Series A convertible preferred stock 0 2016-02-19 4 A false 1 0 A Common stock 1 1 D Daniel Solomita (the "Reporting Person") signed share purchase agreements, dated October 27, 2015, with each of Rocas Limited, Humber AG and Jackson Bennett LLC, to purchase 475,000 shares, 500,000 shares, and 625,000 shares, respectively, of the common stock of Loop Industries, Inc. (the "Issuer"), the transfers were held and were settled on November 15, 2016. Shares held through 10036552 Canada Inc., a Canadian corporation that is wholly-owned by Daniel Solomita, pursuant to an exchange agreement, dated May 31, 2017. Shares underlying restricted stock units approved by the Board and were issued following the annual general meeting of shareholders of the Issuer, following the shareholder's approval of an increase in the number of shares of common stock reserved under the equity incentive plan. On October 15, 2019, 200,000 restricted stock units were settled. The convertible preferred stock is convertible at any time, at the holder's election, and has no expiration date. Exhibit List Exhibit 24.1 Power of Attorney /s/ Daniel Solomita 2019-11-27 EX-24.1 2 poa_ex241.htm POWER OF ATTORNEY Blueprint
 
Exhibit 24.1
 
POWER OF ATTORNEY
 
The undersigned, as a Section 16 reporting person of Loop Industries, Inc. (the “Company”), hereby constitutes and appoints Nelson Gentiletti and Michel Megelas as the undersigned’s true and lawful attorney-in-fact to:
 
1. 
complete and execute Forms 3, 4 and 5 and other forms and all amendments thereto as such attorney-in-fact shall in her discretion determine to be required or advisable pursuant to Section 16 of the Securities Exchange Act of 1934 (as amended) and the rules and regulations promulgated thereunder, or any successor laws and regulations, as a consequence of the undersigned’s ownership, acquisition or disposition of securities of the Company; and
 
2. 
do all acts necessary in order to file such forms with the Securities and Exchange Commission, any securities exchange or national association, the Company and such other person or agency as the attorney-in-fact shall deem appropriate.
 
The undersigned hereby ratifies and confirms all that said attorney-in-fact and agent shall do or cause to be done by virtue hereof. The undersigned acknowledges that the foregoing attorney-in-fact, in serving in such capacity at the request of the undersigned, is not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934 (as amended).
 
This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the Company and the foregoing attorney-in-fact.
 
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 27th day of November 2019.
 
 
 
Signature: /s/ Daniel Solomita 
 
Print Name: Daniel Solomita