SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Breen Mark

(Last) (First) (Middle)
6888 S CLINTON STREET
3RD FLOOR

(Street)
GREENWOOD VILLAGE CO 80112

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/13/2017
3. Issuer Name and Ticker or Trading Symbol
LEAFBUYER TECHNOLOGIES, INC. [ LBUY ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, par value $0.001 per share 7,250,020 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Preferred Stock (1) (1) Common Stock 1,000,000 (1) D
Stock Option (right to purchase) 04/01/2018(2) 04/01/2023 Common Stock 1,000,000 0.25 D
Explanation of Responses:
1. The Series A Preferred Stock is convertible into the greater of 1 or an indeterminable number of shares of Common Stock at any time at the holder's election. The shares have no expiration date.
2. The options to purchase shares of the Issuer's Common Stock was granted under the Issuer's 2017 Equity Incentive Plan. Options to purchase 200,000 shares of the Issuer's Common Stock will vest and become exercisable in equal tranches on each of April 1, 2018, October 1, 2018, April 1, 2019, October 1, 2019, April 1, 2020 and October 1, 2020.
/s/ Mark Breen 07/03/2018
** 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 5 (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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