XWELL, Inc. — Director's Dealing 2017

Sep 14, 2017

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: FORM Holdings Corp. (FH)
CIK: 0001410428
Period of Report: 2017-09-13

Reporting Person: HEYER ANDREW R (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2017-09-13	Common Stock	P	100000	$1.32	Acquired	115000	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
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.