Notification That Annual Report Will Be Submitted Late (nt 10-k)
April 03 2017 - 7:02AM
Edgar (US Regulatory)
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM
12b-25
NOTIFICATION
OF LATE FILING
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OMB
APPROVAL
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OMB
Number: 3235-0058
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Expires:
October 31, 2018
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Estimated
average burden
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hours
per response ... 2.50
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SEC
FILE NUMBER
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000-52522
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CUSIP
NUMBER
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50116D 107
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(Check one):
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[X]
Form 10-K [ ] Form 20-F [ ] Form 11-K [ ] Form 10-Q [ ] Form 10-D [ ]
Form N-SAR
[ ] Form N-CSR
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For Period Ended:
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December
31, 2016
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[ ] Transition Report
on Form 10-K
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[ ] Transition Report
on Form 20-F
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[ ] Transition Report
on Form 11-K
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[ ] Transition Report
on Form 10-Q
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[ ] Transition Report
on Form N-SAR
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For the Transition Period Ended: _________________________
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Read
Instruction
(on
back
page)
Before Preparing Form. Please Print
or
Type.
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Nothing
in this form shall be construed to imply that the Commission has verified any information contained herein.
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If
the notification relates to a portion of the filing checked above, identify the Item(s) to which the notification relates:
PART
I —
REGISTRANT
INFORMATION
KSIX Media Holdings, Inc.
Full Name of Registrant
Former Name if Applicable
10624 South Eastern Avenue,
Suite A-910
Address of Principal Executive Office
(Street
and Number)
Henderson, Nevada 89052
City, State and Zip Code
PART
II
—
RULES
12b-25(b)
AND
(c)
If
the
subject report
could
not
be
filed without unreasonable
effort
or
expense
and the
registrant
seeks relief pursuant
to
Rule
12b-25(b),
the
following
should
be
completed.
(Check
box
if
appropriate)
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(a)
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The
reason described
in
reasonable
detail
in
Part
III
of
this
form
could
not
be
eliminated
without
unreasonable
effort
or
expense
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[X]
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(b)
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The
subject annual report, semi-annual report, transition
report
on
Form
10-K,
Form
20-F,
Form
11-K,
Form
N-SAR
or
Form
N-CSR,
or
portion
thereof,
will
be
filed
on
or
before
the
fifteenth calendar
day
following
the
prescribed
due
date;
or
the
subject
quarterly report
or
transition
report
on
Form
10-Q or subject
distribution
Report on
Form
10-D,
or
portion thereof,
will
be
filed
on or
before
the
fifth
calendar
day
following
the
prescribed
due
date;
and
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(c)
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The
accountant’s
statement
or
other
exhibit required
by
Rule
12b-25(c)
has
been
attached
if
applicable.
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PART
III
—
NARRATIVE
State
below
in
reasonable
detail
why
Forms
10-K, 20-F, 11-K, 10-Q,10-D, N-SAR, N-CSR,
or
the
transition
report
or
portion
thereof, could
not
be
filed
within
the
prescribed
time
period.
Persons
who are to respond to the collection of information contained in this form are not required to respond unless the form displays
a currently valid OMB control number.
PART
IV
—
OTHER
INFORMATION
(1)
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Name
and telephone number of person to contact in regard to this notification
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Carter
Matzinger, CEO
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702
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701-8030
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(Name)
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(Area Code)
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(Telephone Number)
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(2)
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Have
all other periodic reports required under Section 13 or 15(d) of the Securities Exchange Act of 1934 or Section 30 of the
Investment Company Act of 1940 during the preceding 12 months or for such shorter period that the registrant was required
to file such report(s) been filed? If answer is no, identify report(s).
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Yes
[X] No [ ]
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(3)
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Is it anticipated
that any significant change in results of operations from the corresponding period for the last fiscal year will be reflected
by the earnings statements to be included in the subject report or portion thereof?
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Yes [ ]
No [X]
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If
so, attach an explanation of the anticipated change, both narratively and quantitatively, and, if appropriate, state the reasons
why a reasonable estimate of the results cannot be made.
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KSXI
Media Holdings, INC
(Name
of
Registrant
as
Specified
in
Charter)
has
caused
this
notification
to be
signed
on
its
behalf
by
the
undersigned
hereunto
duly
authorized.
Date:
April 3, 2017
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By:
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/s/
Carter Matzinger
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INSTRUCTION:
The
form may
be
signed
by
an
executive officer
of
the
registrant
or
by
any
other
duly
authorized
representative.
The name and
title
of
the
person signing
the form
shall
be
typed
or
printed
beneath
the
signature.
If
the
statement
is
signed
on
behalf
of
the
registrant
by an
authorized
representative (other
than
an
executive
officer),
evidence
of
the
representative’s
authority
to
sign
on
behalf
of
the
registrant shall
be
filed
with the
form.
ATTENTION
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Intentional
misstatements
or
omissions
of
fact
constitute
Federal Criminal Violations
(See
18
U.S.C.
1001).
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