Sec Form 3 Filing - Massey Joanna D. @ THUMZUP MEDIA Corp - 2024-10-28

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Massey Joanna D.
2. Issuer Name and Ticker or Trading Symbol
THUMZUP MEDIA Corp [ TZUP]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
11854 W. OLYMPIC BLVD, STE 1100W #13
3. Date of Earliest Transaction (MM/DD/YY)
10/28/2024
(Street)
LOS ANGELES, CA90064
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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
Common Stock 10,059 D
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Series A Preferred Convertible Voting Stock $ 3 ( 2 ) ( 1 ) ( 1 ) Common Stock 23,157 D
Series B Preferred $ 4 ( 4 ) ( 3 ) ( 3 ) Common Stock 10,000 D
Employee Stock Options ( 5 ) $ 5 10/29/2024 10/29/2034 Common Stock 120,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Massey Joanna D.
11854 W. OLYMPIC BLVD, STE 1100W #13
LOS ANGELES, CA90064
X
Signatures
/s/ Joanna Massey 11/04/2024
Signature of Reporting Person Date
Explanation of Responses:
( 1 )As stated in the Amended and Restated Certificate of Designation of Series A Preferred Convertible Voting Stock dated September 26, 2022 (the "Series A Preferred Certificate of Designation"), Series A Preferred Convertible Voting Stock is exercisable upon issuance, and has no expiration date.
( 2 )Series A Preferred Convertible Voting Stock converts into 15 shares of Common Stock at a Reference Rate of $3.00, subject to adjustments as specified in the Series A Preferred Certificate of Designation.
( 3 )The Amended and Restated Certificate of Designation of Series B Preferred Convertible Voting Stock dated April 17, 2024 (the "Series B Preferred Certificate of Designation") allows for conversion by Dr. Massey at any time, as well as providing for automatic conversion by the Company following the 6-month anniversary of the listing on a National Stock Exchange, the Series B Preferred shall automatically convert into common stock should the Company's common stock be listed on a National Stock Exchange and close at $8.00 or more for ten (10) consecutive trading days.
( 4 )Each share of Series B Preferred Convertible Voting Stock was initially convertible into 10 shares of Common Stock (the "Conversion Rate") at a reference rate of $5.00 per share of Common Stock (the "Reference Rate"), which adjusted to a 20% discount to the offering price of the Company's Offering on Form S-1 in conjunction with an up-listing to a National Stock Exchange, or $4.00 per share of Common Stock, subject to adjustments as specified in the Series B Preferred Certificate of Designation.
( 5 )Should Dr. Massey resign or be removed prior to completing full 12 month term, the remaining portion of the options that the Director was entitled to shall be clawed back pursuant to the Company's Compensation Recovery Policy and the discretion of the Board of Directors.

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