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XWELL, Inc. Director's Dealing 2017

May 23, 2017

35356_dirs_2017-05-23_24ce0788-590d-48e3-84b3-97e96fc72465.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: 2017-05-19

Reporting Person: HEYER ANDREW R (Director)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2017-05-19 Common Stock P 10000 $1.4899 Acquired 10000 Direct
2017-05-22 Common Stock P 5000 $1.66 Acquired 15000 Direct

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 2338690 Indirect
Common Stock 2338690 Indirect

Footnotes

F1: Mistral Spa Holdings, LLC ("MSH"), a Delaware limited liability company, is the record holder of these shares of common stock beneficially owned by Mr. Heyer. Mr. Heyer is the managing member and the managing partner of Mistral Capital Management, LLC ("MCM"), which is the sole manager of MSH. By reason of the provisions of Rule 16a-1 of the Exchange Act, MCM and Mr. Heyer may be deemed to be beneficial owners of certain of the securities that are deemed to be beneficially owned by MSH. Mr. Heyer disclaims beneficial ownership of the securities owned by MSH except to the extent of Mr. Heyer's pecuniary interest therein.