Sec Form 4 Filing - Frommer Jeremy @ Jerrick Media Holdings, Inc. - 2018-04-17

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
Frommer Jeremy
2. Issuer Name and Ticker or Trading Symbol
Jerrick Media Holdings, Inc. [ JMDA]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Executive Officer
(Last) (First) (Middle)
63 TAUNTON LAKE ROAD
3. Date of Earliest Transaction (MM/DD/YY)
04/17/2018
(Street)
NEWTON, CT06470
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 08/31/2018 C 178,992 A $ 0.2 11,674,876 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
Convertible Promissory Note $ 0.2 04/17/2018 P 178,992 04/17/2018 ( 1 ) Common Stock 178,992 $ 0.2 178,992 D
Convertible Promissory Note $ 0.2 08/31/2018 C 178,992 04/17/2018 ( 1 ) Common Stock 178,992 $ 34,000 0 D
Warrants to Purchase Common Stock $ 0.2 06/29/2018 P 30,000 06/29/2018 06/29/2022 Common Stock 30,000 ( 2 ) 30,000 D
Warrant to Purchase Common Stock $ 0.3 08/31/2018 A 89,496 08/31/2018 08/31/2023 Common Stock 89,496 ( 1 ) 89,496 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Frommer Jeremy
63 TAUNTON LAKE ROAD
NEWTON, CT06470
X Chief Executive Officer
Signatures
/s/ Jeremy Frommer 09/07/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Effective August 31, 2018 Jerrick Media Holdings, Inc. (the "Company") entered into a letter agreement (the "Letter Agreement") with Mr. Jeremy Frommer whereby the Company issued to Mr. Frommer an aggregate of 178,992 shares of common stock upon the conversion of outstanding debt securities held by Mr. Frommer. Further, as inducement to enter into the Letter Agreement, Mr. Frommer was issued a warrant to purchase 89,496 shares of the Company's common stock with an exercise price of $0.30 per share. No money was paid to the Company for the foregoing transactions.
( 2 )The 30,000 warrants to purchase shares of the Company's common stock were issued to Mr. Frommer in connection with a loan made to the Company in the principal amount of $10,000.

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