Initial Statement of Beneficial Ownership (3)
August 01 2019 - 12:02PM
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
Estimated average burden
hours per response...
0.5
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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
*
Al-Siddiq Waqaas
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2. Date of Event Requiring Statement (MM/DD/YYYY)
7/16/2019
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3. Issuer Name
and
Ticker or Trading Symbol
BIOTRICITY INC. [BTCY]
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(Last)
(First)
(Middle)
275 SHORELINE DRIVE, SUITE 150
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
___
X
___ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
CEO and Chairman of the Board /
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(Street)
REDWOOD CITY, CA 94065
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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4712336
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D
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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)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Options (Right to buy)
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(1)
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(1)
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Common stock
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2499998
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$2.20
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D
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Options (Right to buy)
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(2)
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(2)
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Common stock
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1300000
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$5.44
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D
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Explanation of Responses:
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(1)
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Stock options granted in July 2016 pursuant to the 2016 Equity Incentive Plan and vested in equal monthly installments beginning on July 31, 2016. The options expire five years from their vesting date.
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(2)
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Stock options granted on January 1, 2018 pursuant to the 2016 Equity Incentive Plan. The options began vesting equally in thirty monthly installments on January 31, 2018 and will continue to vest monthly until June 30, 2020. The options expire five years from the date of vesting and, as of the date of this filing, approximately 40% of the options remain unvested.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Al-Siddiq Waqaas
275 SHORELINE DRIVE, SUITE 150
REDWOOD CITY, CA 94065
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X
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X
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CEO and Chairman of the Board
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Signatures
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/s/ Waqaas Al-Siddiq
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8/1/2019
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who 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.
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