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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, Section 17(a) of the Public Utility Holding Company Act of 1935 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 | ||||||||
Series B Convertible Preferred Stock | $ 0 | 06/05/2015 | J | 8,000,000 | 07/17/2015 | (2) | Common Stock | 40,000,000 | $ 0 | 8,000,000 | I | Through Amir Holdings Group Limited (1) | |||
Series E Convertible Preferred Stock | $ 0 | 10/23/2015 | J | 8,000,000 | 10/23/2015 | (2) | Common Stock | 40,000,000 | $ 0 | 8,000,000 | I | Through Amir Holdings Group Limited (3) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Amir Ehud 20333 TOMBALL PKWY SUITE 204 HOUSTON, TX 77070 |
X | X | Chief Operating Officer |
/s/Ehud Amir | 11/04/2015 | |
**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 shares are directly owned by Amir Holdings Group Limited ("Amir Holdings"), which received 90,000,000 shares of common stock and 8,000,000 shares of Series B Convertible Preferred Stock of Eagle Mountain Corporation (the "Company") pursuant to an assignment and assumption agreement dated June 5, 2015, between the Company and Eagle Mountain Ltd. The reporting person is the director of Amir Holdings and in such capacity is deemed to have holding voting and investment power over the shares held by Amir Holdings. |
(2) | There is no expiration date. |
(3) | Pursuant to an Exchange Agreement between the Company and the reporting person, the reporting person exchanged 40,000,000 shares of the Company's common stock and received 8,000,000 shares of the Company's Series E Convertible Preferred Stock. There is no expiration date for the conversion rights. |