Sec Form 4 Filing - SCHILLER LEONARD M @ Jerrick Media Holdings, Inc. - 2019-04-12

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
SCHILLER LEONARD M
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
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
1110 N LAKE SHORE DR., APT. 9 SOUTH
3. Date of Earliest Transaction (MM/DD/YY)
04/12/2019
(Street)
CHICAGO, IL60611
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, par value $0.001 per share 04/12/2019 J( 1 ) 100,000 A 1,880,558 I By Leonard M. Schiller Revocable Trust Dtd. 10/3/1997
Common Stock, par value $0.001 per share 04/12/2019 J( 1 ) 112,200 A 668,097 D
Common Stock, par value $0.001 per share 04/12/2019 J( 1 ) 20,000 A 688,097 D
Common Stock, par value $0.001 per share 04/12/2019 J( 1 ) 3,333 A 691,430 D
Common Stock, par value $0.001 per share 04/12/2019 J( 1 ) 3,333 A 694,763 D
Common Stock, par value $0.001 per share 04/12/2019 J( 1 ) 6,666 A 701,429 D
Common Stock, par value $0.001 per share 04/12/2019 J( 1 ) 7,425 A 708,854 D
Common Stock, par value $0.001 per sh are 04/12/2019 J( 1 ) 41,250 A 750,104 D
Common Stock, par value $0.001 per share 04/12/2019 J( 1 ) 147,523 A 897,627 D
Common Stock, par value $0.001 per share 04/12/2019 J( 1 ) 25,000 A 922,627 D
Common Stock, par value $0.001 per share 04/12/2019 J( 1 ) 25,000 A 947,627 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
Warrant to Purchase Common Stock $ 0.2 ( 1 ) 04/12/2019 J( 1 ) 300,000 05/02/2018 05/02/2022 Common Stock 300,000 $ 0.2 ( 1 ) 0 I By Leonard M. Schiller Revocable Trust Dtd. 10/3/1997
Warrant to Purchase Common Stock $ 0.2 ( 1 ) 04/12/2019 J( 1 ) 340,000 12/04/2014 12/04/2019 Common Stock 340,000 $ 0.2 ( 1 ) 0 D
Warrant to Purchase Common Stock $ 0.2 ( 1 ) 04/12/2019 J( 1 ) 60,000 11/18/2018 11/18/2020 Common Stock 60,000 $ 0.2 ( 1 ) 0 D
Warrant to Purchase Common Stock $ 0.2 ( 1 ) 04/12/2019 J( 1 ) 1,000 03/02/2017 03/02/2022 Common Stock 10,000 $ 0.2 ( 1 ) 0 D
Warrant to Purchase Common Stock $ 0.2 ( 1 ) 04/12/2019 J( 1 ) 1,000 04/12/2017 04/12/2022 Common Stock 10,000 $ 0.2 ( 1 ) 0 D
Warrant to Purchase Common Stock $ 0.2 ( 1 ) 04/12/2019 J( 1 ) 20,000 05/11/2017 05/11/2022 Common Stock 20,000 $ 0.2 ( 1 ) 0 D
Warrant to Purchase Common Stock $ 0.2 ( 1 ) 04/12/2019 J( 1 ) 22,500 06/26/2017 06/26/2022 Common Stock 22,500 $ 0.2 ( 1 ) 0 D
Warrant to Purchase Common 447,037Stock $ 0.2 ( 1 ) 04/12/2019 J( 1 ) 125,000 08/25/2017 08/25/2022 Common Stock 125,000 $ 0.2 ( 1 ) 0 D
Warrant to Purchase Common Stock $ 0.2 ( 1 ) 04/12/2019 J( 1 ) 447,037 10/19/2017 10/19/2022 Common Stock 447,037 $ 0.2 ( 1 ) 0 D
Warrant to Purchase Common Stock $ 0.2 ( 1 ) 04/12/2019 J( 1 ) 125,000 01/30/2018 01/30/2023 Common Stock 125,000 $ 0.2 ( 1 ) 0 D
Warrant to Purchase Common Stock $ 0.2 ( 1 ) 04/12/2019 J( 1 ) 75,000 07/03/2018 07/03/2022 Common Stock 75,000 $ 0.2 ( 1 ) 0 D
Warrant to Purchase Common Stock $ 0.2 ( 1 ) 04/12/2019 J( 1 ) 75,000 07/17/2018 07/17/2022 Common Stock 75,000 $ 0.2 ( 1 ) 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
SCHILLER LEONARD M
1110 N LAKE SHORE DR.
APT. 9 SOUTH
CHICAGO, IL60611
X
Signatures
/s/ Leonard Schiller 04/24/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Reporting Person exchanged all of Reporting Person's common stock purchase warrants exercisable at $0.20 per share (collectively, the "Warrants") for shares of common stock of the Issuer, par value $0.001 per share, at a ratio of thirty-three thousand three-hundred thirty-three (33,333) shares for every one-hundred thousand (100,000) Warrants in connection with a Tender Offer Transaction closed by the Issuer on April 12, 2019.

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