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*
STROMMEN JACK B.

(Last) (First) (Middle)
7108 31ST AVENUE NORTH

(Street)
MINNEAPOLIS MN 55427

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BIOLARGO, INC. [ BLGO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
03/28/2018
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
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
Convertible Promissory Note $0.3 03/28/2018 P $100,000 03/28/2018 04/20/2021(1) Common stock 333,333 $100,000(2) $100,000 I Securities held by Sanatio Capital, LLC.
Warrant to Purchase Common Stock $0.48 03/28/2018 P 333,333 03/28/2018 04/20/2023 Common stock 333,333 (3) 3,590,476(4) I Securities held by Sanatio Capital, LLC.
Explanation of Responses:
1. The maturity date of the Convertible Promissory Note is April 20, 2021.
2. Represents the amount of cash investment and the principal amount due on the Convertible Promissory Note reported herein.
3. The reported Warrant to Purchase Common Stock was received as part of a unit associated with a $100,000 investment by Reporting Person into Issuer's private securities offering, along with the Convertible Promissory Note reported herein. No separate consideration was given for the warrant.
4. Includes warrants to purchase 3,257,143 common stock held by Reporting Person directly. Does not include 82,138 shares of Issuer's common stock purchasable by Reporting Person pursuant to Options.
Remarks:
The Convertible Promissory Note and Warrant reported in Table II were purchased as part of a unit in the issuer's private securities offering titled Spring 2018 Offering.
/s/ John R. Browning, Attorney in fact 03/30/2018
** 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 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).
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