Statement of Ownership (sc 13g)
26 12월 2018 - 8:09PM
Edgar (US Regulatory)
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE
13G
Under
the Securities Exchange Act of 1934
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NEXEON
MEDSYSTEMS INC
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(Name
of Issuer)
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Common
Stock, $0.001 Par Value
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(Title
of Class of Securities)
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65342G
203
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(CUSIP
Number)
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Jamie
Tunnell Harris
425
PMB 693 ST 1
Dorado,
PR 00646
Phone:
817-602-1480
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(Name,
Address and Telephone Number of Person Authorized to Receive Notices and Communications)
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September
24, 2018
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(Date
of Event which Requires Filing of this Statement)
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Check
the appropriate box to designate the rule pursuant to which this Schedule is filed:
*
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 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).
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1.
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NAMES OF REPORTING PERSONS EAGLE EQUITIES, LLC
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Rosellini Family Irrevocable Trust UA Dated 09/24/2018
TAX ID: 66-6044660
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(see instructions)
(a) ☐
(b) ☐
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3.
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SEC USE ONLY
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4.
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CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY EACH
REPORTING
PERSON
WITH
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5.
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SOLE VOTING POWER
0
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6.
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SHARED VOTING POWER
367,785 (1)
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7.
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SOLE DISPOSITIVE POWER
0
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8.
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SHARED DISPOSITIVE POWER
367,785 (1)
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9.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
367,785
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10.
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(see instructions) ☐
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11.
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
18.7% (2)
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12.
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TYPE OF REPORTING PERSON (see instructions)
OO
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(1)
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Represents shares held by Rosellini Family Irrevocable
Trust UA Dated 09/24/2018 (the “Trust”). Jamie Tunnell Harris is the trustee of the Trust and has voting and dispositive
power over the securities held by the Trust.
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(2)
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Based on the total of 1,965,646 outstanding shares of Common
Stock as of December 20, 2018.
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1.
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NAMES OF REPORTING PERSONS EAGLE EQUITIES, LLC
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Jamie Tunnell Harris
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(see instructions)
(a) ☐
(b) ☐
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3.
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SEC USE ONLY
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4.
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CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY EACH
REPORTING
PERSON
WITH
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5.
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SOLE
VOTING POWER
0
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6.
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SHARED
VOTING POWER
367,785
(1
)
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7.
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SOLE
DISPOSITIVE POWER
0
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8.
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SHARED
DISPOSITIVE POWER
367,785 (1)
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9.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
367,785
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10.
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(see instructions) ☐
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11.
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
18.7% (2)
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12.
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TYPE OF REPORTING PERSON (see instructions)
IN
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(1)
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Represents shares held by the Trust. Jamie Tunnell Harris
is the trustee of the Trust and has voting and dispositive power over the securities held by the Trust.
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(2)
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Based on the total of 1,965,646 outstanding shares of Common
Stock as of December 20, 2018.
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Item
1.
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(a)
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Name
of Issuer
NEXEON
MEDSYSTEMS INC
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(b)
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Address
of Issuer’s Principal Executive Offices
1910 Pacific Avenue, Suite 20000
Dallas,
Texas 75201
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Item
2.
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(a)
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Name
of Person Filing
Rosellini Family Irrevocable Trust UA Dated 09/24/2018, and
Jamie Tunnell Harris
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(b)
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Address
of the Principal Office or, if none, residence
425
PMB 693 ST 1
Dorado,
PR 00646
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(c)
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Citizenship
Rosellini Family Irrevocable Trust UA Dated 09/24/2018 was formed in the United States. Ms. Harris is a citizen
of the United States.
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(d)
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Title
of Class of Securities
Common
Stock, $0.001 par value per share
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(e)
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CUSIP
Number
65342G
203
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Item
3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person
filing is a:
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(a)
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☐
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Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).
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(b)
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Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).
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(c)
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Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).
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(d)
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Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8).
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(e)
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An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);
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(f)
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An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);
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(g)
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A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);
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(h)
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A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
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(i)
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A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
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(j)
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Group, in accordance with §240.13d-1(b)(1)(ii)(J).
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Item
4. Ownership.
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(a)
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Amount beneficially owned:
367,785 (1)
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(b)
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Percent of class:
18.7%
(2)
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(c)
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Number of shares as to which the
person has:
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(i)
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Sole power to vote or to direct the vote:
0
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(ii)
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Shared power to vote or to direct the vote:
367,785 (1)
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(iii)
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Sole power to dispose or to direct the disposition
of :
0
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(iv)
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Shared power to dispose or to direct the disposition
of:
367,785 (1)
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(1)
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Represents shares held by the Trust. Jamie Tunnell Harris
is the trustee of the Trust and has voting and dispositive power over the securities held by the Trust.
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(2)
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Based on the total of 1,965,646 outstanding shares of
Common Stock as of December 20, 2018.
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Item
5. Ownership of Five Percent or Less of a Class.
If
this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial
owner of more than five percent of the class of securities, check the following. ☐
N/A
Item
6. Ownership of More than Five Percent on Behalf of Another Person.
Not
applicable
Item
7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent
Holding Company.
Not
applicable
Item
8. Identification and Classification of Members of the Group.
Not
applicable
Item
9. Notice of Dissolution of Group.
Not
applicable
Item
10. Certification.
By
signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are
not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were
not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
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.
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Dated: December
21, 2018
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Rosellini
Family Irrevocable Trust UA Dated 09/24/2018
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By:
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/s/
Jamie Tunnell Harris
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Name:
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Jamie Tunnell Harris
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Title:
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Trustee
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Dated: December 21, 2018
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/s/
Jamie Tunnell Harris
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Jamie Tunnell Harris
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E
xhibit
99.1
AGREEMENT TO FILE JOINT SCHEDULE
13G
Pursuant
to Rule 13d-1(k)(1) under the Securities Exchange Act of 1934, as amended, the undersigned hereby consent to the joint filing on
their behalf of a single Schedule 13G and any amendments thereto, with respect to the beneficial ownership by each of the undersigned
of shares of the common stock of NEXEON MEDSYSTEMS INC., a Nevada corporation. The undersigned hereby further agree
that this statement may be executed in any number of counterparts, each of which when so executed shall be deemed to be an original,
but all of which counterparts shall together constitute one and the same instrument.
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Dated:
December 21, 2018
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Rosellini
Family Irrevocable Trust UA Dated 09/24/2018
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By:
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/s/
Jamie Tunnell Harris
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Name:
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Jamie
Tunnell Harris
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Title:
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Trustee
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Dated:
December 21, 2018
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/s/
Jamie Tunnell Harris
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Jamie Tunnell
Harris
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Nexeon Medsystems (CE) (USOTC:NXNN)
과거 데이터 주식 차트
부터 11월(11) 2024 으로 12월(12) 2024
Nexeon Medsystems (CE) (USOTC:NXNN)
과거 데이터 주식 차트
부터 12월(12) 2023 으로 12월(12) 2024
