XWELL, Inc. — Director's Dealing 2017

Jan 20, 2017

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: FORM Holdings Corp. (FH)
CIK: 0001410428
Period of Report: 2017-01-17

Reporting Person: Stout Donald E. (Director)

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2017-01-17	Stock Option	$2.12	A	80000	Acquired	2027-01-17	Common Stock (80000)	Direct

Footnotes

F1: These securities were issued as part of the Issuer's annual equity compensation to non-employee directors.

F2: These options to purchase shares of common stock of the Issuer vest in equal quarterly installments over a one-year period, with one-fourth vesting on the date of grant and one-fourth vesting at the end of each fiscal quarter thereafter.