Form 4 Silverman Joshua

Statement of changes in beneficial ownership of securities

Published: 2019-02-22 17:04:53
Submitted: 2019-02-22
Period Ending In: 2019-02-11
section16.html PRIMARY DOCUMENT


>

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)
02/11/2019
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
Warrant to purchase Common Stock $4.72 02/11/2019 J(1) 1,667 12/06/2017 12/06/2024 Common Stock 1,667 $0 1,667 I See footnote(2)
Warrant to purchase Common Stock $4.68 02/11/2019 J(1) 2,223 12/07/2017 12/07/2024 Common Stock 2,223 $0 2,223 I See footnote(2)
Warrant to purchase Common Stock $4.36 02/11/2019 J(1) 1,716 12/08/2017 12/08/2024 Common Stock 1,716 $0 1,716 I See footnote(2)
Warrant to purchase Common Stock $4.32 02/11/2019 J(1) 1,161 12/14/2017 12/14/2024 Common Stock 1,161 $0 1,161 I See footnote(2)
Explanation of Responses:
1. Liquidating distribution from American Capital Management, LLC.
2. By JNS Holding Group LLC.
/s/ Joshua Silverman 02/22/2019
** 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
section16.xml PRIMARY DOCUMENT
Schema Version:
X0306
Document Type:
4
Period Of Report:
2019-02-11

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
true

Derivative Transaction

Security Title
Warrant to purchase Common Stock
Conversion Or Exercise Price
4.72
Transaction Date
2019-02-11

Transaction Coding

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

Transaction Amounts

Transaction Shares
1667
Transaction Price Per Share
0
Transaction Acquired Disposed Code
A
Exercise Date
2017-12-06
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

Value
See footnote
@attributes Id
F2
Security Title
Warrant to purchase Common Stock
Conversion Or Exercise Price
4.68
Transaction Date
2019-02-11

Transaction Coding

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

Transaction Amounts

Transaction Shares
2223
Transaction Price Per Share
0
Transaction Acquired Disposed Code
A
Exercise Date
2017-12-07
Expiration Date
2024-12-07

Underlying Security

Underlying Security Title
Common Stock
Underlying Security Shares
2223
Shares Owned Following Transaction
2223

Ownership Nature

Direct Or Indirect Ownership
I

Nature Of Ownership

Value
See footnote
@attributes Id
F2
Security Title
Warrant to purchase Common Stock
Conversion Or Exercise Price
4.36
Transaction Date
2019-02-11

Transaction Coding

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

Transaction Amounts

Transaction Shares
1716
Transaction Price Per Share
0
Transaction Acquired Disposed Code
A
Exercise Date
2017-12-08
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

Value
See footnote
@attributes Id
F2
Security Title
Warrant to purchase Common Stock
Conversion Or Exercise Price
4.32
Transaction Date
2019-02-11

Transaction Coding

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

Transaction Amounts

Transaction Shares
1161
Transaction Price Per Share
0
Transaction Acquired Disposed Code
A
Exercise Date
2017-12-14
Expiration Date
2024-12-14

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

Value
See footnote
@attributes Id
F2

Footnote

0
Liquidating distribution from American Capital Management, LLC.
1
By JNS Holding Group LLC.

Owner Signature

Signature Name
/s/ Joshua Silverman
Signature Date
2019-02-22
Additional Files
FileSequenceDescriptionTypeSize
0001654954-19-001907.txt   Complete submission text file   12050
$DCAR

© 2019 SEC.report
SEC CFR Title 17 of the Code of Federal Regulations.