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Home > Insider Trading > Filing (0001161351-15-000004)

Filing Details

Accession Number:: 0001161351-15-000004
Form Type:: 5
Zero Holdings:: No
Publication Time:: 2015-11-02 20:00:04
Reporting Period:: 2015-08-31

Filing Date:: 2015-11-02
Accepted Time:: 2015-11-02 20:00:04
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1501112	Mix 1 Life Inc.	MIXX	Pharmaceutical Preparations (2834)	680678499

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1161351	Christopher Larson	16000 N. 80Th Street, Suite E Scottsdale AZ 85260	Cfo	Yes	Yes	Yes	No

Reported Non-Derivative Transactions

Show Other Fields >>

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2015-10-27	10,650	$1.11	103,952	No	5	P	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	5	P	Direct

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock	1,711,984	Indirect	See Footnote

Footnotes

The amount of shares owned directly is as of the date of this filing.
Indirect Ownership includes 150 shares in the name of Mr. Larson's minor child, 78,500 common shares held in the name of Thomas Lake & Company, a corporation controlled by Mr. Larson, and 1,633,334 common shares held in the name of Mix Development Group LLC, an Arizona limited liability company controlled by Mr. Larson.