SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
TAGLICH ROBERT

(Last) (First) (Middle)
790 NEW YORK AVENUE, SUITE 209

(Street)
HUNTINGTON NY 11743

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
AIR INDUSTRIES GROUP [ AIRI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/12/2017
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrants $3 12/22/2016 P 15,029 12/22/2016 11/30/2021 Common Stock 15,029 $0 23,918 D
Warrants $3.71 02/07/2017 P 19,230 02/07/2017 01/31/2022 Common Stock 19,230 $0 19,230 D
Warrants $3.3 03/15/2017 P 7,692 03/08/2017 01/31/2022 Common Stock 7,692 $0 7,692 D
Warrants $3 03/15/2017 J(2) 15,344 11/22/2016 11/30/2021 Common Stock 15,344 $0 39,262 D
Warrants $3 03/15/2017 J(2) 12,540 12/22/2016 11/30/2021 Common Stock 12,540 $0 51,802 D
Warrants $4.45 03/15/2017 J(2) 7,500 02/17/2017 01/31/2022 Common Stock 7,500 $0 7,500 D
Warrants $3.3 03/15/2017 J(2) 4,374 03/08/2017 01/31/2022 Common Stock 4,374 $0 12,542 D
Warrants $3.78 03/15/2017 J(2) 4,306 03/15/2017 01/31/2022 Common Stock 4,306 $0 4,306 D
Warrants $4 03/21/2017 J(2) 869 03/21/2017 01/31/2022 Common Stock 869 $0 869 D
Warrants $2.49 05/12/2017 P 93,279 05/12/2017 05/12/2022 Common Stock 93,279 $0 93,279 D
Warrants $5 08/19/2016 P 2,436 08/19/2016 07/31/2021 Common Stock 2,436 $0 2,436 I See Note(1)
Warrants $8.72 01/01/2014 A 10,000 04/01/2014 12/31/2019 Common Stock 10,000 $0 10,000 I See Note(3)
Warrants $3.3 03/15/2017 J(4) 3,416 03/08/2017 01/31/2022 Common Stock 3,416 $0 3,416 I See Note(4)
Warrants $3.78 03/15/2017 J(4) 3,354 03/15/2017 01/31/2022 Common Stock 3,354 $0 3,354 I See Note(4)
Warrants $4 03/21/2017 J(4) 615 03/21/2017 01/31/2022 Common Stock 615 $0 615 I See Note(4)
Explanation of Responses:
1. Custodian for children under NY UGMA.
2. Assignment of a portion of Placement Agent Warrants originally issued to Taglich Brothers, Inc., of which the Reporting Person is Managing Director.
3. Represents warrants received by Taglich Brothers, Inc., of which the Reporting Person is Managing Director, pursuant to Capital Markets Advisory Agreement.
4. Represents warrants received by Taglich Brothers, Inc., of which the Reporting Person is Managing Director, which acted as placement agent for the sale of Issuer's 2019 Notes in March 2017, in lieu of cash payment of commissions.
/s/ Robert F. Taglich 05/16/2017
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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