Form 4 Silverman Joshua

4 - Statement of changes in beneficial ownership of securities

Published: 2018-03-02 17:53:30
Submitted: 2018-03-02
Period Ending In: 2018-02-28
tv487620_4.html OWNERSHIP DOCUMENT


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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*
Silverman Joshua

(Last) (First) (Middle)
C/O PARKFIELD FUNDING LLC
205 EAST 42ND STREET - 20TH FLOOR

(Street)
NEW YORK NY 10017

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
DropCar, Inc. [ DCAR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
02/28/2018
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
Common Stock 02/28/2018 J(1) 5,109 A $0 5,109(2) I By JNS Holdings Group LLC
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
Warrants $4.72 02/28/2018 J(1) 1,667 01/16/2015 12/06/2024 Common Stock 1,667 $0 1,667 I By JNS Holdings Group LLC
Warrants $4.32 02/28/2018 J(1) 1,161 01/16/2015 12/12/2024 Common Stock 1,161 $0 1,161 I By JNS Holdings Group LLC
Warrants $4.68 02/28/2018 J(1) 2,222 01/16/2015 12/07/2024 Common Stock 2,222 $0 2,222 I By JNS Holdings Group LLC
Warrants $4.36 02/28/2018 J(1) 1,716 01/16/2015 12/08/2024 Common Stock 1,716 $0 1,716 I By JNS Holdings Group LLC
Explanation of Responses:
1. Securities received from pro rata distribution in connection with the dissolution of American Capital Management LLC, of which the reporting person was a non-managing member.
2. Mr. Silverman no longer has beneficial ownership of the shares previously reported as indirectly owned on his Form 3.
/s/ Joshua Silverman 03/02/2018
** 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
tv487620_4.xml OWNERSHIP DOCUMENT
Schema Version:
X0306
Document Type:
4
Period Of Report:
2018-02-28
Not Subject To Section16:
0

Issuer

Issuer Cik
0001086745
Issuer Name
DropCar, Inc.
Issuer Trading Symbol
DCAR

Reporting Owner

Reporting Owner Id

Rpt Owner Cik
0001524858
Rpt Owner Name
Silverman Joshua

Reporting Owner Address

Rpt Owner Street1
C/O PARKFIELD FUNDING LLC
Rpt Owner Street2
205 EAST 42ND STREET - 20TH FLOOR
Rpt Owner City
NEW YORK
Rpt Owner State
NY
Rpt Owner Zip Code
10017

Reporting Owner Relationship

Is Director
1
Is Officer
0
Is Ten Percent Owner
0
Is Other
0

Non Derivative Transaction

Security Title
Common Stock
Transaction Date
2018-02-28

Transaction Coding

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

Transaction Amounts

Transaction Shares
5109
Transaction Price Per Share
0
Transaction Acquired Disposed Code
A

Shares Owned Following Transaction

Value
5109
@attributes Id
F2

Ownership Nature

Direct Or Indirect Ownership
I
Nature Of Ownership
By JNS Holdings Group LLC

Derivative Transaction

Security Title
Warrants
Conversion Or Exercise Price
4.72
Transaction Date
2018-02-28

Transaction Coding

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

Transaction Amounts

Transaction Shares
1667
Transaction Price Per Share
0
Transaction Acquired Disposed Code
A
Exercise Date
2015-01-16
Expiration Date
2024-12-06

Underlying Security

Underlying Security Title
Common Stock
Underlying Security Shares
1667
Shares Owned Following Transaction
1667

Ownership Nature

Direct Or Indirect Ownership
I
Nature Of Ownership
By JNS Holdings Group LLC
Security Title
Warrants
Conversion Or Exercise Price
4.32
Transaction Date
2018-02-28

Transaction Coding

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

Transaction Amounts

Transaction Shares
1161
Transaction Price Per Share
0
Transaction Acquired Disposed Code
A
Exercise Date
2015-01-16
Expiration Date
2024-12-12

Underlying Security

Underlying Security Title
Common Stock
Underlying Security Shares
1161
Shares Owned Following Transaction
1161

Ownership Nature

Direct Or Indirect Ownership
I
Nature Of Ownership
By JNS Holdings Group LLC
Security Title
Warrants
Conversion Or Exercise Price
4.68
Transaction Date
2018-02-28

Transaction Coding

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

Transaction Amounts

Transaction Shares
2222
Transaction Price Per Share
0
Transaction Acquired Disposed Code
A
Exercise Date
2015-01-16
Expiration Date
2024-12-07

Underlying Security

Underlying Security Title
Common Stock
Underlying Security Shares
2222
Shares Owned Following Transaction
2222

Ownership Nature

Direct Or Indirect Ownership
I
Nature Of Ownership
By JNS Holdings Group LLC
Security Title
Warrants
Conversion Or Exercise Price
4.36
Transaction Date
2018-02-28

Transaction Coding

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

Transaction Amounts

Transaction Shares
1716
Transaction Price Per Share
0
Transaction Acquired Disposed Code
A
Exercise Date
2015-01-16
Expiration Date
2024-12-08

Underlying Security

Underlying Security Title
Common Stock
Underlying Security Shares
1716
Shares Owned Following Transaction
1716

Ownership Nature

Direct Or Indirect Ownership
I
Nature Of Ownership
By JNS Holdings Group LLC

Footnote

0
Securities received from pro rata distribution in connection with the dissolution of American Capital Management LLC, of which the reporting person was a non-managing member.
1
Mr. Silverman no longer has beneficial ownership of the shares previously reported as indirectly owned on his Form 3.

Owner Signature

Signature Name
/s/ Joshua Silverman
Signature Date
2018-03-02
Additional Files
FileSequenceDescriptionTypeSize
0001144204-18-012626.txt   Complete submission text file   14458
$DCAR

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