SEC Form 5 · accession 0001630849-15-000001
NuZee, Inc. · CIMG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Masateru Higashida
Officer — Pres., CEO, CFO, Sec., Treas. · Director · 10% Owner
Period of report
Sep 30, 2014
Accepted (ET)
Feb 17, 2015 · 2:24 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001527613
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | Apr 19, 2013 | J | 24,917,333 | $0.00 | A | 14,233,633 | D | |
| Common Stock | Oct 1, 2013 | J | 8,966,100 | $89,661.00 | D | 14,233,633 | D | |
| Common Stock | Mar 4, 2014 | S | 1,717,600 | $80,800.00 | D | 14,233,633 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On 4/19/13, 24,917,333 shares were issued pursuant to a Share Exchange Agreement with NuZee Co., Ltd., a California corporation.
- F2See Footnote No. 1 above.
- F3During October 2013, the Company entered into a Compromise Agreement with Mr. Higashida to settle the related party receivable. In consideration of the compromises contained in the agreement, Mr. Higashida agreed to forgive a note in the amount of $50,000, cancel 8,966,100 shares, and the Company forgave the related party receivable of $139,661.