Initial Statement of Beneficial Ownership (3) P
Post# of 32626
Initial Statement of Beneficial Ownership (3)
FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
1. Name and Address of Reporting Person *
Bond Phillip J.
2. Date of Event Requiring Statement (MM/DD/YYYY)
8/27/2018
3. Issuer Name and Ticker or Trading Symbol
Verb Technology Company, Inc. [VERB]
(Last) (First) (Middle)
310 D STREET NE
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__ X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Street)
WASHINGTON, DC 20002
(City) (State) (Zip)
5. If Amendment, Date Original Filed (MM/DD/YYYY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security
(Instr. 4) 2. Amount of Securities Beneficially Owned
(Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) 4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 4) 2. Date Exercisable and Expiration Date
(MM/DD/YYYY) 3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5) 6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (1) 8/27/2018 8/26/2023 Common 66667 $7.50 D
Explanation of Responses:
(1) Number of shares and exercise price adjusted for a 1 for 15 reverse split effective February 1, 2019. Stock Options vest as follows: August 27, 2018- 13,334, August 27, 2019-13,334, August 27, 2020-13,333, August 27, 2021-13,333, August 27, 2022-13,333.
Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Bond Phillip J.
310 D STREET NE
WASHINGTON, DC 20002 X
Signatures
/s/ Phillip J. Bond 4/23/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5(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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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