SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF 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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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 11/14/2013 | 3. Issuer Name and Ticker or Trading Symbol Moxian, Inc. [ MOXC ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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 | 9,990,000 | I | By Good Eastern Investment Holding Limited (solely owned by Mr. Tan) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: 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 |
Explanation of Responses: |
Remarks: |
Mr. Tan was appointed as the director of MOXC on February 13, 2015 and was appointed as the CEO and President of MOXC on June 30, 2015. On September 28, 2017, Mr. Tan resigned from his positions as a director and from all officer positions with the Issuer and from all director and officer positions with the Issuer's subsidiaries, effective September 29, 2017. Mr. Tan is a member and director of Good Eastern Investment Holdings Limited ("Good Eastern"). On November 19, 2013, Good Eastern acquired 5,000 shares of MOXC in exchange for $0.10 per share. On November 22, 2013, Good Eastern acquired 661,000 shares of MOXC in exchange for $0.085 per share. On December 13, 2013 MOXC implemented a 60-for-1 forward stock split, causing the shares set forth above to be adjusted to 39,960,000 shares. On February 22, 2016, MOXC and Good Eastern agreed to a cancellation of shares that resulted in Good Eastern owning 19,980,000 shares of MOXC, and on June 20, 2016, the MOXC effected a 1 for 2 reverse stock split, which caused the shares MOXC held by Good Eastern to be adjusted to 9,990,000. See Exhibit 1 attached here for additional information. |
/s/ James Mengdong Tan | 02/28/2018 | |
** 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 Number. |