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