SEC Form 4 · accession 0001585604-15-000002
Rafina Innovations Inc. · VICA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sotirios Leontaritis
Officer — President, CEO · Director · 10% Owner
Period of report
May 28, 2015
Accepted (ET)
Jul 29, 2015 · 8:43 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001402737
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common sharesF1 | May 28, 2015 | J | 11,291,033 | $0.03 | A | 20,524,366 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On May 28, 2015, as disclosed on Form 8-K as filed with the Securities and Exchange Commission on June 3, 2015, HCI Viocare (the "Company") entered into a Debt Settlement and Subscription Agreement with the President of the Company, Sotirios Leontaritis ("Leontaritis"). Under the terms of a convertible note payable entered into as of July 25, 2014, the Company was indebted to Leontaritis in the amount of EUR$300,000, accruing simple interest at a rate of 5% per annum (the "Debt"). Leontaritis agreed to accept 11,291,033 shares of the Company's common stock at a price of US$0.03 per share in full and final settlement of the Debt plus accrued interest totaling EUR$311,125 (USD$338,731) as at May 28, 2015.