Form SC 13D/A - General statement of acquisition of beneficial ownership: [Amend]
21 7월 2023 - 5:01AM
Edgar (US Regulatory)
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
SCHEDULE
13D/A
Under
the Securities Exchange Act of 1934
(Amendment
No. 1)*
Indonesia
Energy Corporation Limited
(Name
of Issuer)
Ordinary
Shares, Par Value $0.00267 Per Share
(Title
of Class of Securities)
G4760X
102
(CUSIP
Number)
C/O
James Huang
GIESMART
PLAZA, 7th Floor
Jl.
Raya Pasar Minggu No. 17A
Pancoran
– Jakarta 12780 Indonesia
(Name,
Address and Telephone Number of Person Authorized to
Receive
Notices and Communications)
July
12, 2023
(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 that is the subject of this Schedule 13D,
and is filing this schedule because of Rule 13d-1(e), Rule 13d-1(f) or Rule 13d-1(g), check the following box. ☐
Note:
Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See section
240.13d-7 for other parties to whom copies are to be sent.
*
The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject
class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover
page.
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 other subject to the liabilities of that section of Act but shall be subject
to all other provisions of the Act (however, see the Notes).
EXPLANATORY
NOTE
This
Amendment No. 1 to Schedule 13D (this “Amendment”) is being made solely to correct an error in the Schedule 13D originally
filed by Reporting Persons on December 31, 2019 (the “Original Schedule 13D”) regarding the jurisdiction of incorporation
of MADERIC Holding Limited, one of the Reporting Persons hereunder.
The
jurisdiction of MADERIC Holding Limited, one of the Reporting Persons, is hereby amended from Cayman Islands to Hong Kong. Except as
specifically provided herein, this Amendment No. 1 does not modify any of the previous information reported in the Original Schedule
13D. In particular, the percentage of class shown in item 13 is accurate only as of the date of the Original Schedule 13D. Unless otherwise
indicated, each capitalized term used but not defined in this Amendment shall have the meaning assigned to such term in the Original
Schedule 13D.
CUSIP
No. G4760X 102
1
|
Names
of Reporting Person.
MADERIC
Holding Limited |
2 |
Check
the Appropriate Box if a Member of a Group
(a)
☐
(b)
☐ |
3 |
SEC
Use Only
|
4
|
Source
of Funds (See Instructions)
WC |
5
|
Check
if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) ☐
|
6 |
Citizenship
or Place of Organization
Hong
Kong |
Number
of
Shares
Beneficially
Owned
by
Each
Reporting
Person
With |
7
|
Sole
Voting Power
5,222,222
(1) |
8
|
Shared
Voting Power (see Item 5 below)
0 |
9
|
Sole
Dispositive Power
5,222,222
(1) |
10
|
Shared
Dispositive Power (see Item 5 below)
0 |
11
|
Aggregate
Amount Beneficially Owned by Each Reporting Person
5,222,222 |
12 |
Check
if the Aggregate Amount in Row (11) Excludes Certain Shares ☐
|
13
|
Percent
of Class Represented by Amount in Row (11)
70.92%
(2) |
14
|
Type
of Reporting Person
OO |
CUSIP
No. G4760X 102
1
|
Names
of Reporting Person.
Dr.
Wirawan Jusuf |
2
|
Check
the Appropriate Box if a Member of a Group
(a)
☐
(b)
☐ |
3
|
SEC
Use Only
|
4
|
Source
of Funds (See Instructions)
PF |
5
|
Check
if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) ☐
|
6 |
Citizenship
or Place of Organization
Jakarta,
Indonesia |
Number
of
Shares
Beneficially
Owned
by
Each
Reporting
Person
With |
7
|
Sole
Voting Power
5,222,222
(1) |
8
|
Shared
Voting Power (see Item 5 below)
0 |
9
|
Sole
Dispositive Power
5,222,222
(1) |
10
|
Shared
Dispositive Power (see Item 5 below)
0 |
11
|
Aggregate
Amount Beneficially Owned by Each Reporting Person
5,222,222 |
12
|
Check
if the Aggregate Amount in Row (11) Excludes Certain Shares ☐
|
13
|
Percent
of Class Represented by Amount in Row (11)
70.93%
(2) |
14
|
Type
of Reporting Person
IN |
|
(1) |
Represents
(i) 5,222,222 shares held by MADERIC Holding Limited (“MADERIC”). Dr. Wirawan Jusuf, the Chief Executive Officer and
Chairman of the Board of Directors of the issuer, holds voting and dispositive control over the shares owned by MADERIC. Excludes
options to purchase 150,000 of our ordinary shares with an exercise price of $11.00 per share. |
|
|
|
|
(2) |
Based
on a total of 7,363,637 Ordinary Shares issued and outstanding as of December 19, 2019 as reported by the Issuer in its registration
statement on Form F-1, filed by the Issuer with the SEC on July 30, 2019, as amended. |
SCHEDULE
13D
This
Schedule 13D is filed on behalf of MADERIC Holding Limited (“MADERIC”), a Hong Kong company and Dr. Wirawan Jusuf, the Chief
Executive Officer and Chairman of the Board of Directors of the Issuer, who is the Director of MADERIC, and holds voting and dispositive
control over the shares owned by MADERIC (together with MADERIC, the “Reporting Persons”).
SIGNATURE
After
reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete
and correct.
Date:
July 20, 2023 |
MADERIC
HOLDING LIMITED |
|
|
|
|
By: |
/s/
Dr. Wirawan Jusuf |
|
|
Name:
Dr. Wirawan Jusuf |
|
|
Title:
Director |
|
|
|
Date:
July 20, 2023 |
|
/s/
Dr. Wirawan Jusuf |
|
|
Dr.
Wirawan Jusuf |
Indonesia Energy (AMEX:INDO)
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Indonesia Energy (AMEX:INDO)
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