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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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X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
Ballard Richard E

(Last) (First) (Middle)
C/O LENCO MOBILE INC.
2025 FIRST AVENUE, STE 320

(Street)
SEATTLE WA 98121

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
LENCO MOBILE INC. [ LNCM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
Former Officer
3. Date of Earliest Transaction (Month/Day/Year)
01/31/2012
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
Series A Preferred Stock $0.25(1) 01/31/2012 A 415(2) (3) (4) Common Stock 166,000(5) $0.0000 415 D
Stock Option (Right to Buy) $0.13 03/17/2012 A 840,000 (6) 03/17/2022 Common Stock 840,000 $0.0000 840,000 D
Explanation of Responses:
1. The conversion price is subject to adjustment as provided by the terms of the Series A Preferred Stock. The initial conversion price of $1.50 was adjusted to $0.25 on January 1, 2013.
2. Represents right to acquire shares in lieu of payment of cash bonus pursuant to election under Retention Bonus Agreement dated 12/27/2011, as amended; subject to reporting person's continued employment with the issuer, the shares are vested and deliverable on 12/27/2012.
3. The Series A Preferred Stock is convertible into shares of the issuer's common stock at any time.
4. The Series A Preferred Stock has no expiration date, but is subject to automatic conversion as provided by the terms of such preferred stock.
5. The number of underlying shares is determined by dividing the stated value of Series A Preferred Stock, as adjusted for accreted dividends, by the conversion price. The number of underlying shares shown is based on the initial stated value of $100.00 and the current conversion price of $0.25 per share. As of the transaction date, the adjusted stated value was $107.98 and the conversion price was $1.50 per share; accordingly, the number of underlying shares as of the transation date was 29,875.
6. The option is fully vested and exercisable as of the date of grant (March 17, 2012).
/s/ Richard E. Ballard 04/23/2013
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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