SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
KAKUMANU SWAPAN

(Last) (First) (Middle)
193 SIMCOE CIRCLE SW

(Street)
CALGARY A0 T3H 4S3

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CurrencyWorks Inc. [ CWRK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
3. Date of Earliest Transaction (Month/Day/Year)
01/28/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 50,000 I Red to Black Inc.(1)
Common Stock 57,291 D
Common Stock 01/28/2022 P 80,566 A $0.2048 137,857 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options $0.6 06/08/2018(2) 06/08/2028 Common Stock 75,000 75,000 I Red to Black Inc.(1)
Stock Options $0.1 10/15/2018(3) 10/15/2027 Common Stock 100,000 175,000 I Red to Black Inc.(1)
Stock Options $1.17 02/10/2021(4) 02/10/2031 Common Stock 400,000 400,000 D
Stock Options $1.16 06/15/2021(5) 06/15/2031 Common Stock 750,000 1,150,000 D
Warrants $0.55 (6)(7) 09/09/2026 Common Stock 250,000 250,000 I Fogdog Energy Solutions Inc.(8)
Explanation of Responses:
1. Swapan Kakumanu has the sole power to vote or direct the vote, and to dispose or direct the disposition, of the shares held by Red to Black Inc.
2. The stock options vest as to 1/3 on June 8, 2018, 1/3 on June 8, 2019 and 1/3 on June 8, 2020.
3. The stock options vest as to 1/3 on October 15, 2018, 1/3 on October 15, 2019 and 1/3 on October 15, 2020.
4. The options vest as follows: (i) 1/3 on date of grant, (ii) 1/3 on the first anniversary of date of grant and (iii) 1/3 on the second anniversary of date of grant.
5. The options vest to 1/3 on June 15, 2021, 1/3 on June 15, 2022 and 1/3 on June 15, 2023.
6. The warrants were issued to Fogdog Energy Solutions Inc. ("Fogdog") pursuant to a services agreement dated August 20, 2021 (the "Agreement") with Fogdog, whereby Fogdog will provide CurrencyWorks Inc. (the "Issuer") with free of charge access to the electricity power generated from any clean electricity power generation thermal units built and operated by Fogdog in Canada or the United States of America for a period of five (5) years from the date that the Issuer provides an advance of $850,000 to Fogdog (the "Loan") pursuant to a loan agreement with Fogdog dated August 20, 2021, provided that the Issuer is using such power to develop and operate cryptocurrency mining operations.
7. The Warrants will vest and become exercisable only upon repayment in full of the Loan.
8. Swapan Kakumanu is the chief financial officer and director of Fogdog and also owns 50% of the shares of Fogdog.
/s/ Swapan Kakumanu 01/31/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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