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*
Patterson Mark Richard

(Last) (First) (Middle)
C/O CREATD, INC.
2050 CENTER AVENUE, SUITE 640

(Street)
FORT LEE NJ 07024

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Creatd, Inc. [ CRTD ]
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)
08/04/2020
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 08/04/2020 P 700 A $3.04 700 D
Common Stock 08/04/2020 P 100 A $3.05 800 D
Common Stock 08/04/2020 P 100 A $3.14 900 D
Common Stock 08/06/2020 P 1,000 A $3 1,900 D
Common Stock 08/10/2020 P 400 A $2.675 2,300 D
Common Stock 08/10/2020 P 300 A $2.75 2,600 D
Common Stock 08/10/2020 P 300 A $2.85 2,900 D
Common Stock 08/10/2020 P 400 A $3.06 3,300 D
Common Stock 08/10/2020 P 1,200 A $3.07 4,500 D
Common Stock 08/11/2020 P 1,000 A $2.44 5,500 D
Common Stock 08/11/2020 P 1,000 A $2.6 6,500 D
Common Stock 08/11/2020 P 2,000 A $2.9 8,500 D
Common Stock 08/11/2020 P 3,470 A $2.14 11,970 D
Common Stock 08/11/2020 P 530 A $2.2 12,500 D
Common Stock 09/15/2020 C 13,139 A (1) 17,306(3) D
Common Stock 09/15/2020 C 12,813 A (1) 30,119 D
Common Stock 09/15/2020 C 55,613 A (2) 85,732 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 (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
Convertible Note(7) (1) 09/15/2020 C $50,000 02/26/2019 02/26/2020 Common Stock 13,139 (4) 0 D
Convertible Note (1) 09/15/2020 C $50,000 02/26/2019 02/26/2020 Warrants (right to buy) 13,218 (5) 0 D
Warrants (right to buy) $4.5 09/15/2020 C 13,218 09/15/2020 09/15/2025 Common Stock 13,218 (6) 13,218 D
Convertible Note(8) (1) 09/15/2020 C $50,000 05/07/2019 05/07/2020 Common Stock 12,813 (4) 0 D
Convertible Note (1) 09/15/2020 C $50,000 05/07/2019 05/07/2020 Warrants (right to buy) 12,897 (5) 0 D
Warrants (right to buy) $4.5 09/15/2020 C 12,897 09/15/2020 09/15/2025 Common Stock 12,897 (6) 26,115 D
Convertible Note (2) 09/15/2020 C $175,005 11/08/2019 05/08/2020 Common Stock 55,613 (4) 0 D
Explanation of Responses:
1. Equal to the Uplist Pricing.
2. The lesser of $15 or 80% of the Uplist Pricing.
3. On August 17, 2020, a 1:3 reverse stock split was effectuated, resulting in a reduction of shares from 12,500 to 4,167. The shares resulting from conversion of the convertible notes have been added to the 4,167 shares owned after the reverse stock split.
4. This Note was converted into shares of common stock, as reported in Table I.
5. This Note was converted into warrants.
6. These warrants were obtained as a result of the conversion of the Convertible Notes listed in Table II.
7. The transactions reported in Table II, Rows 1 through 3 reflect the conversion of a single Convertible Note into 13,139 shares of Common Stock and 13,218 warrants.
8. The transactions reported in Table II, Rows 4 through 6 reflect the conversion of a single Convertible Note into 12,813 shares of Common Stock and 12,897 warrants.
/s/ Mark Patterson 10/05/2020
** 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.