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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | 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. | SEC 2270 (9-02) |
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 Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
WANG DESHENG C/O FOCUS UNIVERSAL INC. 2311 EAST LOCUST STREET ONTARIO, CA 91761 |
X | X | CEO and Secretary |
/s/ William L. Horn, Attorney-in-Fact for Desheng Wang | 09/12/2019 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | On December 30, 2015, Focus Universal Inc. (the "Company") entered into an Agreement and Plan of Merger (the "Merger Agreement") with FCUV Acquisition Corp., a wholly owned subsidiary of the Company, and Perfecular Inc. Pursuant to the terms of the Merger Agreement, each share of Perfecular Inc. common stock held by the Reporting Person was cancelled and converted into the right receive common stock of the Company in a 47.6333 to one exchange. |
(2) | Pursuant to the terms of the Merger Agreement, each share of Perfecular Inc. common stock held by the Reporting Person was cancelled and converted into the right to receive common stock of the Company in a 47.6333 to one exchange. Accordingly, the Reporting Person received 14,290,000 shares of the Company's common stock in exchange for his 300,000 shares of Perfecular Inc. common stock. |
(3) | The price reported in column 4 represents the cost basis for the shares of the Company's common stock issued in the exchange. |