Initial Statement of Beneficial Ownership (3)
14 Juni 2018 - 3:36PM
Edgar (US Regulatory)
|
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
|
1. Name and Address of Reporting Person
*
Groman John E
|
2. Date of Event Requiring Statement (MM/DD/YYYY)
6/4/2018
|
3. Issuer Name
and
Ticker or Trading Symbol
Nano Mobile Healthcare, Inc. [VNTH]
|
|
(Last)
(First)
(Middle)
514 AMERICAS WAY #7697
|
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
___
X
___ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
|
|
(Street)
BOX ELDER, SD 57719-7600
(City)
(State)
(Zip)
|
5. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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 Beneficially Owned
|
1.Title of Security
(Instr. 4)
|
2. Amount of Securities Beneficially Owned
(Instr. 4)
|
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
|
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
|
|
Common Stock, par value $0.00001
|
315000
(1)
|
I
|
Trust
|
|
Common Stock, par value $0.00001
|
225000
(2)
|
I
|
IRA
|
|
Common Stock, par value $0.00001
|
677363
(3)
|
I
|
Corporation
|
|
Common Stock, par value $0.00001
|
20000
(4)
|
I
|
Trust
|
|
Common Stock, par value $0.00001
|
150000
(5)
|
I
|
Spouse
|
Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 4)
|
2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
|
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
|
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
|
|
Date Exercisable
|
Expiration Date
|
Title
|
Amount or Number of Shares
|
|
Series B Preferred Stock
|
(12)
|
(12)
|
Common Stock, par value $0.00001
(6)
|
5700000
|
(13)
|
I
|
Individual
|
|
Series B Preferred Stock
|
(12)
|
(12)
|
Common Stock, par value $0.00001
(6)
|
20762712
|
(13)
|
I
|
Individual
|
|
Series B Preferred Stock
|
(12)
|
(12)
|
Common Stock, par value $0.00001
(7)
|
4237288
|
(13)
|
I
|
Corporation
|
|
Series B Preferred Stock
|
(12)
|
(12)
|
Common Stock, par value $0.00001
(7)
|
20000000
|
(13)
|
I
|
Corporation
|
|
Series C Preferred Stock
|
(12)
|
(12)
|
Common Stock, par value $0.00001
(8)
|
241752085
|
(13)
|
I
|
Spouse
|
|
Series C Preferred Stock
|
(12)
|
(12)
|
Common Stock, par value $0.00001
(9)
|
402920141
|
(13)
|
I
|
Trust
|
|
Series C Preferred Stock
|
(12)
|
(12)
|
Common Stock, par value $0.00001
(10)
|
120876042
|
(13)
|
I
|
Trust
|
|
Series D Preferred Stock
|
(12)
|
(12)
|
Common Stock, par value $0.00001
(11)
|
87771845
|
(12)
|
I
|
Corporation
|
|
Series D Preferred Stock
|
(12)
|
(12)
|
Common Stock, par value $0.00001
(11)
|
87771845
|
(12)
|
I
|
Corporation
|
|
Explanation of Responses:
|
|
(1)
|
The Reporting Person is the trustee of the Groman Finnegan Investment Trust under declaration of trust dated 1/18/2002
|
|
(2)
|
The Reporting Person is the Trustee of the John Groman IRA
|
|
(3)
|
The Reporting Person is the majority shareholder of the corporation.
|
|
(4)
|
The Reporting Person is the trustee of the John E. Groman Trust dated 1/18/2002
|
|
(5)
|
The Reporting Person is the spouse of the trustee and by marriage has 50% beneficial interest in the trust
|
|
(6)
|
The Reporting Person is an Individual
|
|
(7)
|
The Reporting Person is the majority shareholder of the corporations
|
|
(8)
|
The Reporting Person is the spouse of the trustee of the John E. Groman Irrevocable Trust dated May 20, 2014 and by marriage has 50% beneficial interest in the trust
|
|
(9)
|
The Reporting Person is the trustee of the Groman Finnegan Investment Trust under declaration of trust dated 1/18/2002
|
|
(10)
|
The Reporting Person is the trustee of the John E. Groman Trust dated 1/18/2002
|
|
(11)
|
The Reporting Person is the majority shareholder of the corporations.
|
|
(12)
|
The Preferred shares are exercisable when the company has enough common stock to convert the preferred to common.
|
|
(13)
|
Convertible into common stock at the rate of 20,000 shares of common stock for each share Preferred Stock.
|
Reporting Owners
|
|
Reporting Owner Name / Address
|
Relationships
|
|
Director
|
10% Owner
|
Officer
|
Other
|
Groman John E
514 AMERICAS WAY #7697
BOX ELDER, SD 57719-7600
|
|
X
|
|
|
Signatures
|
|
/s/ John Groman
|
|
6/14/2018
|
|
**
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 5(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.
|
|
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
|
Nano Mobile Healthcare (PK) (USOTC:VNTH)
Historical Stock Chart
Von Mai 2024 bis Jun 2024
Nano Mobile Healthcare (PK) (USOTC:VNTH)
Historical Stock Chart
Von Jun 2023 bis Jun 2024
Echtzeit-Nachrichten über Nano Mobile Healthcare Inc (PK) (OTCMarkets): 0 Nachrichtenartikel
Weitere Nano Mobile Healthcare, Inc. News-Artikel