Statement of Beneficial Ownership (sc 13d)
July 25 2017 - 6:04AM
Edgar (US Regulatory)
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
WASHINGTON,
D.C. 20549
SCHEDULE
13D
(Rule
13d-101)
INFORMATION
TO BE INCLUDED IN STATEMENTS FILED PURSUANT
TO
RULE 13d-1(a) AND AMENDMENTS THERETO FILED PURSUANT TO
RULE
13d-2(a)
GREEN
SPIRIT INDUSTRIES INC.
(Name
of Issuer)
Common
Stock, par value $0.001 per share
(Title
of Class of Securities)
39340L
100
(CUSIP
Number)
Peter
C. Zachariou
132
Calo Den Real
San
Josep, Ibiza, Spain 07830
+34
971 808 029
(Name,
Address and Telephone Number of Person Authorized to Receive Notices and Communications)
May
11, 2017
(Date
of Event which Requires Filing Statement on Schedule 13D)
If
the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule
13D, and is filing this schedule because of Rule 13d-1(e), 13d-1(f) or 13d-1(g), check the following box [ ].
1.
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NAMES
OF REPORTING PERSONS
Peter
C. Zachariou
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2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)
[ ]
(b)
[ ]
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3.
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SEC
USE ONLY
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4.
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SOURCE
OF FUNDS
OO
(see Item 3, below)
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5.
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CHECK
BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e)
[ ]
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6.
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CITIZENSHIP
OR PLACE OF ORGANIZATION
United
Kingdom
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NUMBER OF
SHARES
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7.
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SOLE
VOTING POWER 1,800,000
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BENEFICIALLY OWNED BY
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8.
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SHARED
VOTING POWER 0
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EACH
REPORTING
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9.
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SOLE
DISPOSITIVE POWER 1,800,000
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PERSON
WITH
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10.
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SHARED
DISPOSITIVE POWER 0
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11.
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AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,800,000
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12.
|
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
[ ]
|
13.
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PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
6.0%
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14.
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TYPE
OF REPORTING PERSON
CO
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EXPLANATORY
NOTE
On
May 11, 2017, Green Spirit Industries, Inc. (the “Company”) entered into a debt exchange agreement (the “
Debt
Exchange
”) with Fountainhead Capital Management Limited (“
Fountainhead
”) whereby Fountainhead agreed
to cancel a promissory note in the aggregate amount of $510,652 plus accrued interest of $129,265, which represents all amounts
owed to Fountainhead as of the date of the Debt Exchange. As consideration, Fountainhead received an aggregate of 1,800,000 shares
of the Company’s common stock, of which 200,000 shares of common stock has previously issued. Pursuant to an agreement between
Fountainhead and its beneficial owners and Peter C. Zachariou (“Zachariou”), said 1,800,000 shares of Company Common
Stock were transferred to Zachariou in consideration of cancellation of debt between the parties.
This
Schedule 13D is being filed by Zachariou to disclose its ownership of approximately 6.0% of the Company’s outstanding Common
Stock.
Item
1. Security and Issuer.
The
name of the issuer is Green Spirit Industries, Inc., a Nevada corporation which has its principal offices at Cond. Madrid Suite
304, 1760 Loiza Street, San Juan, Puerto Rico 00911 (the “Company”). This statement relates to the Company’s
Common Stock par value $0.001.
Item
2. Identity and Background.
(a)-(f).
This Schedule 13D is being filed by Peter C. Zachariou, an individual, who resides at 132 Calo Den Real, San Josep, Ibiza, Spain
07830 (the “Reporting Person”).
During
the last five years, the Reporting Person has not been (A) convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) or (B) a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and
as a result of such proceeding was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting
or mandating activities subject to, Federal or State securities laws or finding any violation with respect to such laws.
The
shares were issued in consideration of cancellation of debt. See Explanatory Note, above.
Item
3. Source and Amount of Funds or Other Consideration.
The
shares were issued in consideration of cancellation of debt. See Explanatory Note, above.
Item
4. Purpose of Transaction.
The
Reporting Person received 1,600,000 shares of Company Common par value $0.001 in consideration of cancellation of debt. The Reporting
Person previously held 200,000 shares of Company Common Stock.
Except
as set forth in this Schedule 13D, the Reporting Person has made no proposals, and has entered into no agreements, which would
be related to or would result in any of the events or matters described in part (a) through (j) of Item 4 of Schedule 13D.
Item
5. Interest in Securities of the Issuer.
(a)
|
The
Reporting Person is the beneficial owner of 1,800,000 shares of Company Common Stock,
representing approximately 6.0% of the outstanding shares of the Company’s Common
Stock. The Reporting Person believes the number of shares of the Company’s Series
D outstanding common stock to be 30,000,005 as of July 17, 2017. Other than as described
therein, the Reporting Person does not own any other securities of the Company.
|
(b)
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The
Reporting Person has the sole power to vote and dispose of the 1,800,000 shares of Common Stock.
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(c)
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Except
for the transactions described in the Explanatory Note above, the Reporting Person did not effect any transactions in the
issuer’s securities within the past 60 days.
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(d)
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No
other person is known to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from
the sale of, the Reporting Person’s securities.
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Item
6. Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer.
Except
as described in the Explanatory Note, there are no contracts, arrangements, understandings or relationships (legal or otherwise)
among the Reporting Person and any other person with respect to any securities of the issuer, including, but not limited to transfer
or voting of any of the securities, finder’s fees, joint ventures, loan or option arrangements, puts or calls, guarantees
of profits, division of profits or loss, or the giving or withholding of proxies.
Item
7. Material to be Filed as Exhibits.
None
SIGNATURES
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.
Dated:
July 24, 2017
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/s/
Peter C. Zachariou
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Peter
C. Zachariou
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