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
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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*
Guzy Jeffrey J

(Last) (First) (Middle)
12 KIEPERSOL DRIVE, ATLAS GARDENS
CONTERMANSKLOOF ROAD

(Street)
DURBANVILLE, WESTERN CAPE T3 7441

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Leatt Corp [ LEAT ]
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)
02/12/2019
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
Common Stock, par value $0.001 per share 02/12/2019 F(2) 15,000(2) A $1(2) 41,667(1)(2) 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
Options to purchase Common Stock, par value $0.001 per share $1 02/14/2014 02/14/2014 A(2) 15,000(2) 02/14/2014 02/13/2019 Common Stock, par value $0.001 per share 15,000(2) $0 15,000(2) D
Options to purchase Common Stock, par value $0.001 per share $2.6 11/22/2016 11/22/2016 A(3) 10,000(3) 03/29/2017 11/21/2026 Common Stock, par value $0.001 per share 10,000(3) $0 25,000(3) D
Options to purchase Common Stock, par value $0.001 per share $1 02/12/2019 02/12/2019 M(2) 15,000(2) 02/14/2014 02/14/2019 Common Stock, par value $0.001 per share 15,000(2) $0 10,000(2) D
Options to purchase Common Stock, par value $0.001 per share $2.3 02/25/2019 02/25/2019 A(4) 15,000(4) 02/25/2019 02/25/2029 Common Stock, par value $0.001 per share 15,000(4) $0 25,000(4) D
Explanation of Responses:
1. The Reporting Person was the holder of 26,667 shares of the Issuer's common stock after giving effect to a 1-for-25 reverse split of the Issue's common stock effected on September 20, 2012.
2. On February 14, 2014, the Issuer's Board of Directors approved the grant to the Reporting Person, of a 5-year option to purchase 15,000 shares of the Issuer's common stock at an exercise price of $1.00 a share under the Issuer's 2011 Plan, all of which vested by February 14, 2017. On February 12, 2019, the Reporting Person exercised his options to purchase 15,000 shares of the Issuer's Common Stock.
3. On November 22, 2016, the Reporting Person was granted a 10-year option to purchase 10,000 shares of the Issuer's common stock at $2.60 per share under the Issuer's 2011 Plan, 6,000 of which vested on March 29, 2017 and the remaining 4,000 of which vested in two equal parts on March 29, 2018 and 2019, respectively.
4. On February 25, 2019, the Reporting Person was granted options to purchase another 15,000 shares of the Issuer's common stock at $2.30 per share under the Issuer's 2011 Plan which will expire on February 24, 2029. Options to purchase 30% or 4,500 shares immediately vested, options to purchase another 40% or 6,000 shares will vest in two equal portions of 3,000 each on February 25, 2020 and 2021, respectively, and the remaining 30% or 4,500 will vest on February 25, 2022.
/s/ Sean Macdonald 05/06/2019
** 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).
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