Statement of Changes in Beneficial Ownership (4)
29 Junio 2023 - 8:08AM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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0.5
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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
*
Grover Vikram P |
2. Issuer Name and Ticker or Trading Symbol
FOMO WORLDWIDE, INC.
[
FOMC
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner __X__ Officer (give title below) _____ Other (specify below) CEO, Director |
(Last)
(First)
(Middle)
625 STANWIX ST. #2504 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/6/2019 |
(Street)
PITTSBURGH,, PA 15222 |
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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(City)
(State)
(Zip)
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Rule 10b5-1(c) Transaction Indication
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Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to
satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common | 5/2/2023 | | P | | 33333333 | A | $0.0003 | 33333333 | D | |
Common | 5/3/2023 | | P | | 33333333 | A | $0.0003 | 66666666 | D | |
Common | 5/4/2023 | | P | | 25000000 | A | $0.0002 | 91666666 | D | |
Common | 5/5/2023 | | P | | 25000000 | A | $0.0002 | 116666666 | D | |
Common | 5/11/2023 | | P | | 25000000 | A | $0.0002 | 141666666 | D | |
Common | 5/19/2023 | | P | | 25000000 | A | $0.0002 | 166666666 | D | |
Common | 5/23/2023 | | P | | 10000000 | A | $0.0002 | 176666666 | D | |
Common | 5/24/2023 | | P | | 10000000 | A | $0.0002 | 186666666 | D | |
Common | 5/25/2023 | | P | | 10000000 | A | $0.0002 | 196666666 | D | |
Common | 5/26/2023 | | P | | 10000000 | A | $0.0002 | 206666666 | D | |
Common | 5/30/2023 | | P | | 6666667 | A | $0.0003 | 213333333 | D | |
Common | 5/31/2023 | | P | | 3333333 | A | $0.0003 | 216666666 | D | |
Common | 6/1/2023 | | P | | 3333334 | A | $0.0003 | 220000000 | D | |
Common | 6/2/2023 | | P | | 3333333 | A | $0.0003 | 223333333 | D | |
Common | 6/6/2023 | | P | | 5000000 | A | $0.0002 | 228333333 | D | |
Common | 6/9/2023 | | P | | 5000000 | A | $0.0002 | 233333333 | D | |
Common | 6/13/2023 | | P | | 5000000 | A | $0.0002 | 238333333 | D | |
Common | 6/14/2023 | | P | | 3333333 | A | $0.0003 | 241666666 | D | |
Common | 6/15/2023 | | P | | 3333334 | A | $0.0003 | 245000000 | D | |
Common | 6/22/2023 | | P | | 5000000 | A | $0.0002 | 250000000 | D | |
Common | 6/29/2023 | | P | | 2500000 | A | $0.0002 | 252500000 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: 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 shares | (1) | 3/6/2019 | | A | | 2000000 | | (4) | (4) | Common | 100000000 | $0.045 | 2000000 | D | |
Series A Preferred shares | (1) | 4/26/2023 | | P | | 3333333 | | (4) | (4) | Common | 166666667 | $0.03 | 5333333 | D | |
Series B Preferred shares | (2) | 3/6/2019 | | P | | 400000 | | (4) | (4) | Common | 400000000 | $0.9 | 400000 | D | |
Series B Preferred shares | (2) | 5/5/2019 | | P | | 125000 | | (4) | (4) | Common | 125000000 | $1.4 | 525000 | D | |
Series B Preferred shares | (2) | 8/26/2019 | | P | | 93750 | | (4) | (4) | Common | 93750000 | $0.3 | 618750 | D | |
Series B Preferred shares | (2) | 10/9/2020 | | P | | 1370065 | | (4) | (4) | Common | 1370065000 | $0.2 | 1988815 | D | |
Series B Preferred shares | (2) | 9/3/2020 | | P | | 60000 | | (4) | (4) | Common | 60000000 | $0.7 | 2048815 | D | |
Series B Preferred shares | (2) | 4/19/2023 | | P | | 166667 | | (4) | (4) | Common | 166666667 | $.06 | 2215482 | D | |
Series B Preferred shares | (2) | 5/1/2023 | | P | | 166667 | | (4) | (4) | Common | 166666667 | $.06 | 2318149 | D | |
Series C Preferred shares | (3) | 3/6/2019 | | A | | 1000000 | | (4) | (4) | Common | 1000000 | $0.0009 | 1000000 | D | |
Stock Options | $.0005 | 12/31/2020 | | A | | 200000000 | | 3/1/2023 | 2/28/2026 | Common | 200000000 | $0.00 | 200000000 | D | |
Explanation of Responses: |
(1) | Each Series A Preferred share converts into 50 common shares. |
(2) | Each Series B Preferred share converts into 1,000 common shares. |
(3) | Each Series C Preferred share converts into 1 common share. |
(4) | There is no exercise or expiration dates on Series A, Series B, or Series C Preferred shares. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Grover Vikram P 625 STANWIX ST. #2504 PITTSBURGH,, PA 15222 | X | X | CEO, Director |
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Signatures
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/s/ Vikram P Grover | | 6/29/2023 |
**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. |
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. |
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