0001437749-21-021487.txt : 20210903 0001437749-21-021487.hdr.sgml : 20210903 20210903161058 ACCESSION NUMBER: 0001437749-21-021487 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210901 FILED AS OF DATE: 20210903 DATE AS OF CHANGE: 20210903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Temple James CENTRAL INDEX KEY: 0001871125 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56283 FILM NUMBER: 211236613 MAIL ADDRESS: STREET 1: PO BOX 8350 CITY: DENVER STATE: CO ZIP: 80201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Salt Blockchain Inc. CENTRAL INDEX KEY: 0001686400 STANDARD INDUSTRIAL CLASSIFICATION: SHORT-TERM BUSINESS CREDIT INSTITUTIONS [6153] IRS NUMBER: 814029835 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: PO BOX 8350 CITY: DENVER STATE: CO ZIP: 80201 BUSINESS PHONE: 303-243-5018 MAIL ADDRESS: STREET 1: PO BOX 8350 CITY: DENVER STATE: CO ZIP: 80201 FORMER COMPANY: FORMER CONFORMED NAME: Salt Lending Holdings, Inc. DATE OF NAME CHANGE: 20161004 4 1 rdgdoc.xml FORM 4 X0306 4 2021-09-01 0001686400 Salt Blockchain Inc. SALT 0001871125 Temple James PO BOX 8350 DENVER CO 80201 1 Stock Option (right to buy) 0.38 2021-09-01 4 A 0 50000 0 A 2031-09-01 Common Stock 50000 50000 D The option vests in twelve equal monthly installments commencing June 19, 2021, subject to the reporting person's continuous service. /s/ Dustin Hull, Attorney-in-Fact for James Temple 2021-09-03