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Ownership Document
|
| Schema Version: X0306 |
| Document Type: 4 |
| Period of Report: 1/28/20 |
| Not Subject to Section 16: 0 |
| Issuer: |
| Issuer CIK: 788611 |
| Issuer Name: SIGMA LABS, INC. |
| Issuer Trading Symbol: SGLB |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1714848 |
| | Owner Name: Battinelli Salvatore F |
| Reporting Owner Address: |
| | Owner Street 1: 3900 PASEO DEL SOL |
| | Owner Street 2: |
| | Owner City: SANTA FE |
| | Owner State: NM |
| | Owner ZIP Code: 87507 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: |
| | Other Text: |
| Derivative Table: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Series E Preferred Stock |
| | | Footnote ID: F1 |
| | Conversion or Exercise Price: |
| | | Value: 1.03 |
| | Transaction Date: |
| | | Value: 1/28/20 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 16.67 |
| | | Transaction Price Per Share: |
| Value: 1,500.00 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Value: 1/28/20 |
| | Expiration Date: |
| | | Footnote ID: F1 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 31,756 |
| Footnote ID: F2 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 16.67 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Warrants to Purchase Common Stock |
| | Conversion or Exercise Price: |
| | | Value: 1.13 |
| | Transaction Date: |
| | | Value: 1/28/20 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 24,272 |
| | | Transaction Price Per Share: |
| Value: 0.00 |
| Footnote ID: F1 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Value: 7/29/20 |
| | Expiration Date: |
| | | Value: 7/28/25 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 24,272 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 24,272 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Footnotes: |
| Footnote - F1: Pursuant to a Securities Purchase Agreement between the Company and the Reporting Person, the Reporting Person purchased 16.67 shares of the Company's Series E Preferred Stock (the "Preferred Shares") and warrants to purchase 24,272 shares of the Company's Common Stock for an aggregate purchase price of $25,000 or $1,500 per Preferred Share (the "Stated Value"). Dividends accrue on a monthly basis of 9% per annum and shall increase the Stated Value. The holder shall have the right to convert the Preferred Shares into common shares at a conversion rate determined by dividing the Conversion Amount by $1.03. The Conversion Amount is the sum of the Stated Value (including as a result of accrued dividends) plus the amount of any dividend that, but for the conversion, would have accrued at the dividend rate for the three year period commencing January 28, 2020. The Preferred Shares have no expiration date. |
| Footnote - F2: Represents the maximum amount of common shares issuable upon conversion as described in footnote 1. |
| Owner Signature: |
| Signature Name: /s/ Salvatore F. Battinelli |
| Signature Date: 2/26/20 |
