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Rosen Arthur – ‘5’ for 12/31/19 re: Creatd, Inc.

On:  Friday, 2/14/20, at 9:00pm ET   ·   For:  12/31/19   ·   Accession #:  1213900-20-4050   ·   File #:  0-51872

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 2/14/20  Rosen Arthur                      5                      1:8K   Jerrick Media Holdings, Inc.      EdgarAgents LLC/FA

Annual Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 5   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 5           Annual Statement of Changes in Beneficial           HTML      3K 
                Ownership of Securities by an Insider --                         
                ownership.xml/3.6


        

This ‘5’ Document is an XML Data File that may be rendered in various formats:

  Form 5    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 
 
Plain Text rendering:  Annual Statement of Changes in Beneficial Ownership of Securities by an Insider
 
                                                                                                                                                                                
Ownership Document
 
Schema Version:  X0306
Document Type:  5
Period of Report:  12/31/19
Not Subject to Section 16:  0
Form 3 Holdings Reported:  0
Form 4 Transactions Reported:  0
Issuer:
Issuer CIK:  1357671
Issuer Name:  Jerrick Media Holdings, Inc.
Issuer Trading Symbol:  JMDA
Reporting Owner:
Reporting Owner ID:
Owner CIK:  1336989
Owner Name:  Rosen Arthur
Reporting Owner Address:
Owner Street 1:  C/O JERRICK MEDIA HOLDINGS, INC.
Owner Street 2:  2050 CENTER AVE, SUITE 640
Owner City:  FORT LEE
Owner State:  NJ
Owner ZIP Code:  07024
Owner State Description:
Reporting Owner Relationship:
Is Director?  No
Is Officer?  No
Is Ten Percent Owner?  Yes
Is Other?  No
Officer Title:
Other Text:
Non-Derivative Table:
Non-Derivative Transaction:
Security Title:
Value:  Common Stock, $0.001 par value per share
Transaction Date:
Value:  12/31/19
Deemed Execution Date:
Transaction Coding:
Transaction Form Type:  5
Transaction Code:  P
Equity Swap Involved?  No
Footnote ID:  F1
Transaction Timeliness:
Transaction Amounts:
Transaction Shares:
Value:  529,186
Footnote ID:  F1
Transaction Price Per Share:
Value:  4.00
Transaction Acquired-Disposed Code:
Value:  A
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  1,146,704
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Non-Derivative Transaction:
Security Title:
Value:  Common Stock, $0.001 par value per share
Transaction Date:
Value:  12/31/19
Deemed Execution Date:
Transaction Coding:
Transaction Form Type:  5
Transaction Code:  P
Equity Swap Involved?  No
Footnote ID:  F1
Transaction Timeliness:
Transaction Amounts:
Transaction Shares:
Value:  3,800
Footnote ID:  F1
Transaction Price Per Share:
Value:  4.00
Transaction Acquired-Disposed Code:
Value:  A
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  132,074
Ownership Nature:
Direct or Indirect Ownership:
Value:  I
Nature of Ownership:
Value:  See footnote
Footnote ID:  F2
Derivative Table:
Derivative Transaction:
Security Title:
Value:  Warrants to Purchase Common Stock
Conversion or Exercise Price:
Value:  5.00
Transaction Date:
Value:  10/8/19
Deemed Execution Date:
Transaction Coding:
Transaction Form Type:  5
Transaction Code:  J
Equity Swap Involved?  No
Transaction Timeliness:
Transaction Amounts:
Transaction Shares:
Value:  30,000
Footnote ID:  F3
Transaction Price Per Share:
Value:  5.00
Transaction Acquired-Disposed Code:
Value:  A
Exercise Date:
Value:  10/8/19
Expiration Date:
Value:  10/8/24
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  30,000
Footnote ID:  F3
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  30,000
Footnote ID:  F3
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Footnote ID:  F3
Footnotes:
Footnote - F1:  Reporting Person made an open market purchase of common stock.
Footnote - F2:  Reporting Person is the Managing Member of Pearl Digital Opportunities Fund LLC.
Footnote - F3:  On October 8, 2019, Reporting Person was issued a common stock purchase warrant to acquire 30,000 shares of common stock at $5.00 per share (the "Warrants") in consideration of providing an extension for a bridge loan previously made by Reporting Person to the Issuer. 10,000 of the Warrants are held directly by Reporting Person and 20,000 of the Warrants are held by minor children of the Reporting Person.
Owner Signature:
Signature Name:  /s/ Arthur Rosen
Signature Date:  2/14/20


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Filing Submission 0001213900-20-004050   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)
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