UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Amendment #1
Under the Securities Exchange Act of 1934
NANO MASK, INC.
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(Name of Issuer)
Common Stock, $.001 par value
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(Title of Class of Securities)
63009L102
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(CUSIP Number)
John C Thompson, 1371 E 2100 S #202, Salt Lake City, UT 84105 801-363-4854
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(Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications)
1/5/2012
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(Date of Event which Requires Filing of this Statement)
If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), 13d-1(f) or 13d-1(g), check the following box . [__]
The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
CUSIP No. 63009L102
1 | NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY) Edward J Suydam | ||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [__] (b) [__] | ||
3 | SEC USE ONLY
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4 | SOURCE OF FUNDS OO | ||
5 | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e) [__] | ||
6 | CITIZENSHIP OR PLACE OF ORGANIZATION United States | ||
NUMBER OF SHARES BENEFICALLY OWNNED BY EACH REPORTING PERSON WITH | 7 | SOLE VOTING POWER 9,072,893 | |
8 | SHARED VOTING POWER 0 | ||
9 | SOLE DISPOSITIVE POWER 9,072,893 | ||
10 | SHARED DISPOSITIVE POWER 0 | ||
11 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9,072,893 | ||
12 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES [__] | ||
13 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 10.74% | ||
14 | TYPE OF REPORTING PERSON IN | ||
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Item 1. Security and Issuer
This Schedule 13D amendment is filed with respect to shares of common stock, $.001 par value ("Common Stock"), of Nano Mask, Inc. (the "Company"). The address of the Company is 50 West Liberty Street, Suite 880, Reno, Nevada.
Item 2. Identity and Background
This Schedule 13D amendment is being filed on behalf of Edward J Suydam ("Suydam"), 50 West Liberty Street, Suite 880, Reno, Nevada. Suydam is CEO and President of Nano Mask, Inc., a medical products company, 50 West Liberty Street, Suite 880, Reno, Nevada. Suydam has not, during the last five years, been convicted in a criminal proceeding. Suydam has not, during the last five years, been a party to a civil proceeding or a judicial or administrative body of competent jurisdiction and as a result of such proceeding was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. Suydam is a United States citizen.
Item 3. Source and Amount of Funds or Other Consideration
In fiscal 2011, Suydam has accepted shares as for his services as an officer.
Item 4. Purpose of Transaction
The acquisitions of common stock and warrants to which this statement relates have been made for investment purposes and in lieu of cash consideration for employment. Suydam, as CEO and president of the Company, has accepted 4,809, 443 shares of restricted common stock as compensation for employment for fiscal 2011. Suydam has no present plans or intent to make proposals which relate to or would result in any action enumerated from subparagraph (a) through subparagraph (j) of Item 4 of Schedule 13D.
Item 5. Interest in Securities of the Issuer
(a) | Suydam is deemed beneficial owner of 9,072,893shares of Common Stock. Based on the 84,442,347 shares of Common Stock outstanding as of January 12, 2012, as reported to the Reporting Person by the Company, and assuming the exercise of his warrants, Suydam’s deemed beneficial holdings represent 10.74% of the Company’s Common Stock. |
(b) | Suydam has sole power to vote or to direct the vote or to dispose or to direct the disposition of the 9,072,893shares of Common Stock. |
(c) | Suydam, as CEO and President of the Company, received an aggregate of 4,809,443 shares (1,388,388 at $.027 per share, 1,339,285 at $.028 per share, 872,093 at $.043 per share, and 1,209,677 at $.031 per share) as compensation for employment for fiscal 2011. These shares were obtained directly from the Company. |
(d) | No person other than Reporting Persons has any right to receive or the power to direct the receipt of dividends from, or proceeds from the sale of, such securities. |
(e) | Not applicable. |
Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer
There are no contracts, arrangements, understandings or relationships (legal or otherwise) between Suydam and any person with respect to any securities of the Company.
Item 7. Materials to Be Filed as Exhibits
None.
Signature
After reasonable inquiry and to the best knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Date: January 13, 2012 | /s/ Edward J. Suydam |
| Edward J. Suydam |
