Sec Form 4 Filing - Shoemaker Sandy L @ SOBR Safe, Inc. - 2021-12-07

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
Shoemaker Sandy L
2. Issuer Name and Ticker or Trading Symbol
SOBR Safe, Inc. [ SOBR]
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)
6400 SOUTH FIDDLERS GREEN CIRCLE, SUITE 525
3. Date of Earliest Transaction (MM/DD/YY)
12/07/2021
(Street)
GREENWOOD VILLAGE, CO80111
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 05/18/2022 J( 1 ) 11,765 A $ 4 11,765 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
Common Stock Warrants $ 4.25 05/18/2022 J( 1 ) 23,530 05/18/2022 05/18/2027 Common Stock 23,530 $ 0.125 23,530 D
Stock Options $ 10.065( 2 ) 12/07/2021 A 25,000( 2 ) ( 3 ) 12/07/2031 Common Stock 25,000 ( 4 ) 25,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Shoemaker Sandy L
6400 SOUTH FIDDLERS GREEN CIRCLE
SUITE 525
GREENWOOD VILLAGE, CO80111
X
Signatures
/s/ Sandy Shoemaker 06/15/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Mrs. Shoemaker acquired the 11,765 Units for $50,000 in the Issuer's recent $10 million firm underwritten public offering, with each Unit consisting of one share of Issuer's common stock and two warrants, each to purchase one share of the Issuer's common stock at $4.25. The price per Unit was $4.25, with $4.00 of the Unit price attributed to the share of common stock and $0.125 of the Unit price attributed to each warrant.
( 2 )Adjusted for the 1-for-3 reverse stock split of the Issuer's common stock effected April 28, 2022.
( 3 )The stock options vest as to 4,167 shares each quarter for four quarters after the grant date and then as to 2,084 shares each quarter for an additional four quarters.
( 4 )Issued to Mrs. Shoemaker for agreeing to serve on the Issuer's Board of Directors and for agreeing to be the chairperson of the Audit Committee of the Issuer's Board of Directors.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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