Sec Form 4 Filing - Curtis Fiona Mary @ KIDOZ INC. - 2021-04-06

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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1. Name and Address of Reporting Person
Curtis Fiona Mary
2. Issuer Name and Ticker or Trading Symbol
KIDOZ INC. [ KDOZF]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
ARD NA MARA, PO BOX 1127,
3. Date of Earliest Transaction (MM/DD/YY)
04/06/2021
(Street)
LITTLE HARBOUR, 1AAI-2640
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 50,000 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock (Right to Buy) $ 0.81 04/06/2021 04/06/2021 A 50,000 04/06/2021 04/06/2026 Common Stock 50,000 ( 1 ) $ 0.81 400,000 D
Employee Stock (Right to Buy) $ 0.43 12/22/2016 12/22/2021 Common Stock 100,000 ( 2 ) 400,000 D
Employee Stock (Right to Buy) $ 0.43 11/08/2017 11/08/2022 Common Stock 25,000 ( 3 ) 400,000 D
Employee Stock (Right to Buy) $ 0.42 06/04/2018 06/04/2023 Common Stock 175,000 ( 4 ) 400,000 D
Employee Stock (Right to Buy) $ 0.39 02/01/2021 02/01/2026 Common Stock 50,000 ( 5 ) 400,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Curtis Fiona Mary
ARD NA MARA
PO BOX 1127,
LITTLE HARBOUR, 1AAI-2640
X
Signatures
/s/ F. Curtis 04/06/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Ms. F. Curtis was granted 50,000 stock options at CAD$1.02 (approximately US$0.813) on April 6, 2021. These options vest at 2% per month.
( 2 )Ms. F. Curtis was granted 100,000 stock options at CAD$0.54 (approximately US$0.43) on December 22, 2016. These options vest immediately.
( 3 )Ms. F. Curtis was granted 25,000 stock options at CAD$0.54 (approximately US$0.43) on November 8, 2017. These options vest immediately.
( 4 )Ms F. Curtis was granted 175,000 stock options at CAD$0.54 (approximately US$0.42) on June 4, 2018. These options vest immediately.
( 5 )Ms. F. Curtis was granted 50,000 stock options at CAD$0.50 (approximately US$0.39) on February 1, 2021. These options vest 10% on grant date, 15% after one year and 2% per month thereafter.

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 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).

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