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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 | ||||||||
Common Stock Options (right to buy) (1) | $ 1.95 | 01/03/2018 | A | 16,666 | 01/03/2019 | 01/03/2028 | Common Stock | 16,666 | $ 0 | 16,666 | D | ||||
Common Stock Options (right to buy) (1) | $ 1.95 | 01/03/2018 | A | 16,667 | 01/03/2020 | 01/03/2028 | Common Stock | 16,667 | $ 0 | 33,333 | D | ||||
Common Stock Options (right to buy) (1) | $ 1.95 | 01/30/2018 | A | 16,667 | 01/03/2021 | 01/03/2028 | Common Stock | 16,667 | $ 0 | 50,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BRINK STEVEN L C/O CHEROKEE INC. 5990 SEPULVEDA BLVD. #600 SHERMAN OAKS, CA 91411 |
CFO |
Steven Brink | 01/05/2018 | |
**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) | Represents a single stock option award to purchase up to 50,000 shares of the Issuer's common stock granted to Mr. Brink on January 3, 2018 in connection with the commencement of his employment with the Issuer. Such stock option award vests in three annual installments on each yearly anniversary of the grant date, subject to continued service for the Issuer on each vesting date, which vesting may accelerate in certain circumstances. |