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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Option to purchase stock | $ 2.05 | 11/08/2021 | M | 15,000 (2) | 01/20/2020 | 01/20/2025 | Common stock, par value $0.001 | 15,000 | $ 2.05 | 120,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Engel Donald C/O BLINK CHARGING CO., 605 LINCOLN ROAD, FIFTH FLOOR MIAMI BEACH,, FL 33139 |
Former Director |
/s/ Donald Engel | 11/10/2021 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The sale reported in this Form 4 was made pursuant to a Rule 10b5-1 Plan. The Reporting Person, age 89, adopted the Plan in the second quarter of 2021 in connection with his estate and tax planning. |
(2) | The exercise of the derivative securities reported in this Form 4 was made pursuant to a Rule 10b5-1 Plan. The Reporting Person, age 89, adopted the Plan in the second quarter of 2021 in connection with his estate and tax planning. |
Remarks: The Reporting Person ceased to serve as a director of the Issuer on September 2, 2021. |