UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

SCHEDULE 13D/A

(Rule 13d-101)

Fifth Amendment

 

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT

TO RULE 13d-1(a) AND AMENDMENTS THERETO FILED PURSUANT TO

RULE 13d-2(a)

 

VYCOR MEDICAL, INC.

(Name of Issuer)

 

7% SERIES D CONVERTIBLE REDEEMABLE PREFERRRED STOCK PAR VALUE $0.0001

(Title of Class of Securities)

 

n/a

(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)

 

August 5, 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 [  ].

 

 

 

     
 

 

CUSIP No. n/a 13D  

 

1.

NAMES OF REPORTING PERSONS

 

Peter C. Zachariou

2.

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP    

(a) [  ]

(b) [  ]

3.

SEC USE ONLY

 

 

4.

SOURCE OF FUNDS

 

OO (see Item 3, below)

5.

CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e)

 

[  ]

6.

CITIZENSHIP OR PLACE OF ORGANIZATION

 

United Kingdom

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON WITH

7. SOLE VOTING POWER                     69,487
8. SHARED VOTING POWER                       0
9. SOLE DISPOSITIVE POWER            69,487
10. SHARED DISPOSITIVE POWER              0
11.

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

69,487

12.

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES

 

[  ]

13.

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

 

25.7%

14.

TYPE OF REPORTING PERSON

 

CO

 

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EXPLANATORY NOTE

 

The purpose of this Amended Schedule 13D filing is to disclose additional ownership of Vycor Medical, Inc. (the “Company”) 7% Series D Convertible Redeemable Preferred Stock par value $0.0001 (the “Series D”). On August 5, 2017, Peter C. Zachariou (“Zachariou”) received an additional Warrant to purchase 161,598 shares of Common Stock at $0.30 per share exercisable prior to August 4, 2020. Zachariou has previously reported ownership of 67,138 shares of Series D, Warrants to purchase an aggregate of 211,239 (all of which have now expired) Common Shares and options to acquire 220,000 Common Shares.

 

This Schedule 13D is being filed by Zachariou to disclose its ownership of approximately 26% of the Company’s outstanding Series D.

 

Item 1. Security and Issuer.

 

The name of the issuer is Vycor Medical, Inc., a Delaware corporation which has its principal offices at 951 Broken Sound Parkway, Suite 320, Boca Raton, FL 33487 (the “Company”). This statement relates to the Company’s 7% Series D Convertible Redeemable Preferred Stock par value $0.0001.

 

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 as a dividend on the shares of Company Series D held by it. See Explanatory Note, above.

 

Item 3. Source and Amount of Funds or Other Consideration.

 

The Warrants were issued pursuant to a Share Exchange Agreement dated August 5, 2014. See Explanatory Note, above.

 

Item 4. Purpose of Transaction.

 

The Reporting Person received a Warrant to purchase 161,598 shares of common stock at $0.30 per share exercisable prior to August 4, 2020.

 

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 69,487 shares of Company Series D, which are convertible by their terms into 323,196 shares of the Company’s common stock, representing approximately 26% of the outstanding shares of the Company’s Series D. The Reporting Person believes the number of shares of the Company’s Series D outstanding common stock to be 270,306 as of August 5, 2017. The Reporting Person has also separately reported the ownership of Warrants to purchase an aggregate of 161,598 Common Shares and options to acquire 220,000 Common Shares. Said amount includes all shares issuable to the Reporting Person on account of Warrants held by the Reporting Person exercisable within sixty (60) days of the date of this report. Other than as described therein, the Reporting Person does not own any other securities of the Company.

 

 

    page 3 of 5
 

 

(b) The Reporting Person has the sole power to vote and dispose of the 69,487 shares of Series D.

 

(c) 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.

 

(d) 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.

 

(e) Not applicable.

 

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

 

    page 4 of 5
 

 

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: September 15, 2017  
   
  /s/ Peter C. Zachariou
  Peter C. Zachariou

 

    page 5 of 5
 

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