SEC Form 4/A · accession 0001019687-15-001247
Medytox Solutions, Inc. · MMMS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Sharon Lynne Hollis
Officer — VP of Operations · 10% Owner
Period of report
Feb 5, 2013
Accepted (ET)
Apr 1, 2015 · 10:40 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001374536
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 5, 2013 | G | 4,500,000 | $0.00 | D | 0 | D | |
| Common StockF1 | Feb 5, 2013 | G | 4,500,000 | $0.00 | A | 4,500,000 | I | By Aella Ltd. |
| Common StockF2 | Feb 8, 2013 | J | 4,500,000 | $0.00 | D | 0 | I | See note |
| Series B Non-Convertible Preferred StockF3 | Feb 5, 2013 | G | 1,000 | $0.00 | D | 0 | D | |
| Series B Non-Convertible Preferred StockF3 | Feb 5, 2013 | G | 1,000 | $0.00 | A | 1,000 | I | By Aella Ltd. |
| Series B Non-Convertible Preferred StockF2 | Feb 8, 2013 | J | 1,000 | $0.00 | D | 0 | I | See note |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This Form 4 amends these transactions which were previously reported with an incorrect transaction date of September 27, 2013. As previously reported, the 4,500,000 shares of the Issuer's Common Stock were distributed by the Reporting Person to Aella Ltd., and as of February 5, 2013 were indirectly owned by the Reporting Person. On February 5, 2013, the Reporting Person was the sole owner of Aella Ltd., and disclaims beneficial ownership of the reported securities, except to the extent of her pecuniary interest therein.
- F2On February 8, 2013, the Reporting Person distributed all of the capital stock of Aella Ltd. to The Olive Tree Trust. P. Wilhelm F. Toothe is the trustee of The Olive Tree Trust. The Reporting Person is the settlor and the Reporting Person and her family are the beneficiaries of The Olive Tree Trust. As a consequence of the distribution of all of the capital stock of Aella Ltd. to The Olive Tree Trust, the Reporting Person is no longer a beneficial owner of the Issuer's Common Stock and the Issuer's Series B Non-Convertible Preferred Stock owned of record by Aella Ltd. pursuant to Section 16(a) of the Securities Exchange Act of 1934.
- F3The 1,000 shares of the Issuer's Series B Non-Convertible Preferred Stock were distributed by the Reporting Person to Aella Ltd., and as of February 5, 2013 were indirectly owned by the Reporting Person. On February 5, 2013, the Reporting Person was the sole owner of Aella Ltd., and disclaims beneficial ownership of the reported securities, except to the extent of her pecuniary interest therein.