Initial Statement of Beneficial Ownership (3)
June 10 2020 - 7:06PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
ORCIM Financial Holdings, LLC |
2. Date of Event Requiring Statement (MM/DD/YYYY)
5/20/2020
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3. Issuer Name and Ticker or Trading Symbol
Acacia Diversified Holdings, Inc. [ACCA]
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(Last)
(First)
(Middle)
704 FOREST GLEN ROAD |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Street)
SILVER SPRING, MD 20901
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Series B Convertible Preferred Stock | 1475000 (1) | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | Each share of the Preferred Stock has fifty (50) votes per share and may be converted into fifty (50) $0.001 par value common shares. As the result of the issuance of the Preferred Stock, ORCIM Financial Holdings, LLC has voting control over the Company with 73,750,000 votes on all matters submitted to stockholders for a vote. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
ORCIM Financial Holdings, LLC 704 FOREST GLEN ROAD SILVER SPRING, MD 20901 |
| X |
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Signatures
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Jeffery D. Bearden, Manager | | 6/10/2020 |
**Signature of Reporting Person | Date |
by Clifford J. Hunt, Esquire, PoA | | 6/10/2020 |
**Signature of Reporting Person | Date |
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