Statement of Ownership (sc 13g)
December 07 2016 - 4:07PM
Edgar (US Regulatory)
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE
13G
Under
the Securities Exchange Act of 1934
Skyline
Medical Inc.
(Name
of Issuer)
Common
Stock
(Title
of Class of Securities)
83084
T606
(CUSIP
Number)
Kodiak
Capital Group, LLC
260 Newport Center Drive
Newport Beach, CA 92660
949-432-6900
(Name,
Address and Telephone Number of Person
Authorized
to Receive Notices and Communications)
November
25, 2016
(Date of Event which Requires Filing
of this Statement)
Check
the appropriate box to designate the rule pursuant to which this Schedule is filed:
☐
Rule 13d-1(b)
☒
Rule 13d-1(c)
☐
Rule 13d-1(d)
*
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).
CUSIP No. 83084 T606
|
13G
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Page 2 of 5 Pages
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1.
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NAMES OF REPORTING PERSONS
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I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
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Kodiak Capital Group, LLC
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EIN #90-0518606
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(see instructions)
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(a) ☐
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(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
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United States of America, State of California
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5.
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SOLE VOTING POWER
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NUMBER OF
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252,333
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SHARES
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6.
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SHARED VOTING POWER
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BENEFICIALLY
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OWNED BY
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0
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EACH
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7.
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SOLE DISPOSITIVE POWER
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REPORTING
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PERSON WITH
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252,333
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8.
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SHARED DISPOSITIVE POWER
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0
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9.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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252,333
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10.
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
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(see instructions) ☐
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11.
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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6.63%
1
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12.
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TYPE OF REPORTING PERSON (see instructions)
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Accredited Investor
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1
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This percentage is calculated based on approximately
3,804,900 shares of common stock of Skyline Medical Inc. outstanding as of November 25, 2016.
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CUSIP
No. 83084 T606
|
13G
|
Page
3 of 5 Pages
|
Item
1.
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(a)
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Name
of Issuer
Skyline Medical Inc.
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|
|
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(b)
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Address
of Issuer’s Principal Executive Offices
2915 Commers Drive, Suite 900, Eagan, Minnesota
55121
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Item
2.
|
(a)
|
Name
of Person Filing
Kodiak Capital Group, LLC
|
|
|
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(b)
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Address
of the Principal Office or, if none, residence
260 Newport Center Drive, Newport Beach,
CA 92660
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(c)
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Citizenship
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United
States of America
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(d)
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Title
of Class of Securities
Common Stock
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(e)
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CUSIP
Number
83084 T606
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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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☐
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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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☐
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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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☐
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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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☐
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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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☐
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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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☐
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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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☐
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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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☐
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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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☐
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Group,
in accordance with §240.13d-1(b)(1)(ii)(J).
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CUSIP
No. 83084 T606
|
13G
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Page
4 of 5 Pages
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Item
4. Ownership.
Provide
the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in
Item 1.
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(a)
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Amount beneficially owned: 252,333
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(b)
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Percent of class: 6.63%
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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 252,333
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(ii)
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Shared power to vote or to direct the vote 0
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(iii)
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Sole power to dispose or to direct the disposition of
252,333
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(iv)
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Shared power to dispose or to direct the disposition
of 0
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Instruction
.
For computations regarding securities which represent a right to acquire an underlying security
see
§240.13d-3(d)(1).
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 ☐.
Instruction
.
Dissolution of a group requires a response to this item.
Item
6. Ownership of More than Five Percent on Behalf of Another Person.
Item
7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company.
Item
8. Identification and Classification of Members of the Group.
Item
9. Notice of Dissolution of Group.
CUSIP
No. 83084 T606
|
13G
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Page
5 of 5 Pages
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Item
10. Certification.
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(a)
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The following certification shall be included if the
statement is filed pursuant to §240.13d-1(b):
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By
signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held
in the ordinary course of business and 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.
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(b)
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The following certification shall be included if the
statement is filed pursuant to §240.13d-1(c):
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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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December
7, 2016
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Date
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/s/
Ryan Hodson
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Signature
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Ryan
Hodson, Managing Member
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Name/Title
|
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