Sec Form 4 Filing - DAVIS JAMES L @ DIGILITI MONEY GROUP, INC. - 2017-01-24

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
DAVIS JAMES L
2. Issuer Name and Ticker or Trading Symbol
DIGILITI MONEY GROUP, INC. [ DGLT]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
18671 LAKE DRIVE EAST, SOUTHWEST TECH CENTER A
3. Date of Earliest Transaction (MM/DD/YY)
01/24/2017
(Street)
MINNEAPOLIS, MN55317
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
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 ( 2 ) 01/24/2017 P 265,033 ( 1 ) 03/15/2017 04/30/2018 Common Stock 265,033 ( 1 ) $ 954,138 ( 2 ) 265,033 D
Series C Convertible Preferred Stock ( 3 ) 03/15/2017 P 367,275 ( 1 ) 03/15/2017 ( 3 ) Common Stock 367,275 ( 1 ) ( 3 ) 367,275 D
Warrant (Right to Buy) ( 4 ) $ 7.41 01/24/2017 P 10,371 01/24/2017 01/23/2022 Common Stock 10,371 ( 1 ) $ 0 10,371 D
Warrant (Right to Buy) ( 5 ) $ 3.6 01/25/2017 A 28,704 01/25/2017 01/24/2022 Common Stock 28,704 ( 1 ) $ 0 28,704 D
Warrant (Right to Buy) ( 6 ) $ 3.6 01/26/2017 A 696 01/26/2017 01/25/2022 Common Stock 696 ( 1 ) $ 0 696 D
Warrant (Right to Buy) ( 7 ) $ 3.6 03/02/2017 J 24,024 03/02/2017 03/01/2022 Common Stock 24,024 ( 1 ) $ 0 24,024 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
DAVIS JAMES L
18671 LAKE DRIVE EAST
SOUTHWEST TECH CENTER A
MINNEAPOLIS, MN55317
X X
Signatures
/s/ Bryan D. Meier, Attorney-in-Fact for James L. Davis 06/12/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Reflects 1-for-1.5 reverse stock split which became effective on March 9, 2017.
( 2 )Convertible Term Promissory Note convertible into the Issuer's common stock on a $3.60-for-$1.00 basis.
( 3 )Series C Convertible Preferred Stock convertible into the Issuer's Common Stock on a $3.60-for-$1.00 basis. (This filing is deemed to correct the typographical error contained within Form 4 filed on March 20, 2017, which incorrectly stated a conversion basis of $3.60-for-$100.)
( 4 )Issued in consideration of the Reporting Person's agreement to convert a Convertible Term Promissory Note from the Issuer into the Issuer's common stock and to accept warrants in lieu of a cash repayment of $1,085 interest accrued in connection with the convertible note.
( 5 )Issued in conjunction with a Note Payable agreement between the Issuer and the Reporting Person as inducement to enter into the loan. The Issuer's Board approved the transaction.
( 6 )Issued pursuant to a Convertible Note Payable agreement between the Issuer and the Reporting Person.
( 7 )The Issuer issued the Warrants to the Reporting Person as consideration for his participation in certain financing presented to the Company.

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