0001144204-17-016125.txt : 20170322 0001144204-17-016125.hdr.sgml : 20170322 20170322204457 ACCESSION NUMBER: 0001144204-17-016125 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170320 FILED AS OF DATE: 20170322 DATE AS OF CHANGE: 20170322 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AUTHENTIDATE HOLDING CORP CENTRAL INDEX KEY: 0000885074 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 141673067 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: CONNELL CORPORATE CENTER STREET 2: 300 CONNELL DRIVE, 5TH FLOOR CITY: BERKELEY HEIGHTS STATE: NJ ZIP: 07922 BUSINESS PHONE: 9087871700 MAIL ADDRESS: STREET 1: CONNELL CORPORATE CENTER STREET 2: 300 CONNELL DRIVE, 5TH FLOOR CITY: BERKELEY HEIGHTS STATE: NJ ZIP: 07922 FORMER COMPANY: FORMER CONFORMED NAME: BITWISE DESIGNS INC DATE OF NAME CHANGE: 19930328 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Roshan Hanif A CENTRAL INDEX KEY: 0001664441 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20190 FILM NUMBER: 17707996 MAIL ADDRESS: STREET 1: C/O AEON CLINICAL LABORATORIEXS STREET 2: 2225 CENTENNIAL DRIVE CITY: GAINESVILLE STATE: FL ZIP: 30504 4 1 v462441_4.xml OWNERSHIP DOCUMENT X0306 4 2017-03-20 0 0000885074 AUTHENTIDATE HOLDING CORP ADAT 0001664441 Roshan Hanif A AUTHENTIDATE HOLDING CORP. 2225 CENTENNIAL DR. GAINESVILLE GA 30504 1 1 1 0 Chairman and CEO Convertible Note 2.03 2017-03-20 4 A 0 255417 0.00 A 2017-03-20 2018-03-20 Common Stock 125821 255417 D Effective on March 20, 2017 the registrant entered into a transaction with the reporting person to exchange a preexisting note in the aggregate principal amount of $250,000 that was held by the reporting person for a new note in the aggregate principal amount of $255,417 that is convertible into shares of the registrant's common stock. The new note is convertible at the initial conversion rate of $2.03 per share. Represents the number of shares of common stock issuable upon conversion of the principal amount of the convertible note at the initial conversion price of the convertible note. /s/ Hanif A. Roshan 2017-03-22