Amended Statement of Changes in Beneficial Ownership (4/a)
April 08 2021 - 4:22PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
Gill Jagi |
2. Issuer Name and Ticker or Trading Symbol
Viveon Health Acquisition Corp.
[
VHAQ
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner __X__ Officer (give title below) _____ Other (specify below) CEO and President |
(Last)
(First)
(Middle)
3953 HOLCOMB BRIDGE ROAD,, SUITE 200 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/30/2020 |
(Street)
NORCROSS, GA 30092
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
12/31/2020 |
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security (Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code (Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
Common Stock, par value $0.0001 per share | 12/30/2020 | | J(1) | | 0 | A(1) | $0 | 4950250 | I | Viveon Health LLC (2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | The Form 4 for which this Form 4/A is being filed, incorrectly reflected the forfeiture of 656,250 shares after the consummation of the initial public offering. Forfeiture of up to 656,250 shares held by the Reporting Person was only to occur to the extent the underwriter's over-allotment option was not exercised in full. On December 30, 2020, the underwriter's over-allotment was exercised in full. As a result, no shares should have been forfeited. This Form 4/A reflects that the Reporting Person still beneficially owns 4,950,250 shares. |
(2) | Mr. Gill is a member of Viveon Health LLC and has a pecuniary interest in the shares. Mr. Papadopoulos is the managing member of Viveon Health LLC and is deemed to have sole voting and dispositive power over the shares. The business address for Viveon Health LLC is c/o Gibson, Deal & Fletcher, PC, Spalding Exchange, 3953 Holcomb Bridge Road, Suite 200, Norcross Georgia 30092. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Gill Jagi 3953 HOLCOMB BRIDGE ROAD, SUITE 200 NORCROSS, GA 30092 | X | X | CEO and President |
|
Signatures
|
/s/ Jagi Gill | | 4/8/2021 |
**Signature of Reporting Person | Date |
Viveon Health Acquisition (AMEX:VHAQ)
Historical Stock Chart
From Aug 2024 to Sep 2024
Viveon Health Acquisition (AMEX:VHAQ)
Historical Stock Chart
From Sep 2023 to Sep 2024