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XWELL, Inc. Director's Dealing 2016

May 24, 2016

35356_dirs_2016-05-24_9b24fa92-0d36-44ec-ab52-a4c760e37f81.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: FORM Holdings Corp. (FH)
CIK: 0001410428
Period of Report: 2016-05-19

Reporting Person: GIARDINA SALVATORE (Director)

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2016-05-19 Stock Option $1.72 A 60000 Acquired 2026-05-19 Common Stock (60000) Direct

Footnotes

F1: These options to purchase shares of common stock of the Issuer vest in equal quarterly installments over a one-year period, with the first one-fourth vesting on June 30, 2016.

F2: These securities were issued as part of the Issuer's compensation to non-employee directors. Options to purchase 50,000 shares of common stock were issued in consideration for the Reporting Person's becoming a member of the Issuer's Board of Directors. Options to purchase 10,000 shares of common stock were issued in consideration for the Reporting Person's becoming the Chairman of the Issuer's Audit Committee of the Board of Directors.