SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Word John M III

(Last) (First) (Middle)
12400 RACE TRACK ROAD

(Street)
TAMPA FL 33626

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/29/2021
3. Issuer Name and Ticker or Trading Symbol
Better Choice Co Inc. [ BTTR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 3,182,614(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Purchase Warrants 11/04/2019 06/30/2030 Common Stock 917(1) $25.5(1) D
Purchase Warrants 12/19/2019 06/30/2030 Common Stock 812,500(1) $10.92(1) D
Purchase Warrants 01/22/2021 01/22/2027 Common Stock 83,334(1) $7.5(1) D
Purchase Warrants 07/20/2020 06/30/2030 Common Stock 50,000(1) $6.3(1) D
Purchase Warrants 06/24/2020 06/30/2030 Common Stock 83,334(1) $7.5(1) D
Purchase Warrants 10/01/2020 10/01/2026 Common Stock 1,666,667(1) $4.5(1) D
Stock Options (2) 01/08/2031 Common Stock 16,667(1) $7.74(1) D
Explanation of Responses:
1. After giving effect to a 1:6 reverse stock split conducted by the issuer effective as of June 28, 2021.
2. Options granted on January 8, 2021 and are to vest as to 1/3rd of the shares on the first annual anniversary of the grant date and 1/36th of the shares to vest on each monthly anniversary thereafter.
Remarks:
Exhibit List: Exhibit 24 - Power of Attorney
Becky Pickett, Attorney-in-Fact for John M Word III 07/01/2021
** 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 5 (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.