Form 4 Mintz David

4 - Statement of changes in beneficial ownership of securities

Published: 2016-01-12 17:25:56
Submitted: 2016-01-12
Period Ending In: 2016-01-06
doc1.html FORM 4


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SEC FORM 4

SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
MINTZ DAVID

(Last) (First) (Middle)
C/O TOFUTTI BRANDS INC.
50 JACKSON DRIVE

(Street)
CRANFORD NJ 07016

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
TOFUTTI BRANDS INC [ TOF ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
01/06/2016
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: 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
$500,000Promissory Note due December 31, 2017(1) $4.01 01/06/2016 J(1) $500,000(1) 01/07/2016 12/31/2017 Common Stock (1) $0 0(1) D
Explanation of Responses:
1. The Reporting Person entered into a loan agreement with the Issuer, evidenced by a promissory note, whereby the Reporting Person agreed to loan the Issuer $500,000 until December 31, 2017. The loan will bear interest at 5% per annum payable quarterly commencing March 31, 2016 without compounding. The loan amount, or any part thereof, including any interest or default interest, is convertible into shares of the Registrant's Common Stock at a conversion price of $4.01 per share at any time between January 6, 2016 and December 31, 2017.
Remarks:
/s/David Mintz 01/12/2016
** Signature of Reporting Person Date
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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
1
doc1.xml FORM 4
Schema Version:
X0306
Document Type:
4
Period Of Report:
2016-01-06
Not Subject To Section16:
0

Issuer

Issuer Cik
0000730349
Issuer Name
TOFUTTI BRANDS INC
Issuer Trading Symbol
TOF

Reporting Owner

Reporting Owner Id

Rpt Owner Cik
0000923381
Rpt Owner Name
MINTZ DAVID

Reporting Owner Address

Rpt Owner Street1
C/O TOFUTTI BRANDS INC.
Rpt Owner Street2
50 JACKSON DRIVE
Rpt Owner City
CRANFORD
Rpt Owner State
NJ
Rpt Owner Zip Code
07016

Reporting Owner Relationship

Is Director
1
Is Officer
1
Is Ten Percent Owner
1
Is Other
0
Officer Title
Chief Executive Officer

Derivative Transaction

Security Title

Value
$500,000Promissory Note due December 31, 2017
@attributes Id
F1
Conversion Or Exercise Price
4.01
Transaction Date
2016-01-06

Transaction Coding

Transaction Form Type
4
Transaction Code
J
Equity Swap Involved
0
@attributes Id
F1

Transaction Amounts

Transaction Total Value

Value
500000
@attributes Id
F1
Transaction Price Per Share
0
Transaction Acquired Disposed Code
A
Exercise Date
2016-01-07
Expiration Date
2017-12-31

Underlying Security

Underlying Security Title
Common Stock
@attributes Id
F1

Shares Owned Following Transaction

Value
0
@attributes Id
F1
Direct Or Indirect Ownership
D
Footnotes Footnote
The Reporting Person entered into a loan agreement with the Issuer, evidenced by a promissory note, whereby the Reporting Person agreed to loan the Issuer $500,000 until December 31, 2017. The loan will bear interest at 5% per annum payable quarterly commencing March 31, 2016 without compounding. The loan amount, or any part thereof, including any interest or default interest, is convertible into shares of the Registrant's Common Stock at a conversion price of $4.01 per share at any time between January 6, 2016 and December 31, 2017.

Owner Signature

Signature Name
/s/David Mintz
Signature Date
2016-01-12
Additional Files
FileSequenceDescriptionTypeSize
0001140361-16-047650.txt   Complete submission text file   5911
$TOF

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