Form 1-K Issuer Information


FORM 1-K

UNITED STATE
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 1-K

OMB APPROVAL

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1-K: Filer Information

Issuer CIK
0001778651
Issuer CCC
XXXXXXXX
Is filer a shell company?
o Yes x No
Is the electronic copy of an official filing submitted in paper format?
o
File Number
Is this filing by a successor company pursuant to Rule 257(b)(5) resulting from a merger or other business combination?
o Yes x No
Successor File Number
Is this a LIVE or TEST Filing?
x LIVE o TEST
Would you like a Return Copy?
o
Period
12-31-2020

Submission Contact Information

Name
Phone
E-Mail Address
Notify via Filing Website only?
o

1-K: Tab 1 Notification

This Form 1-K is to provide an
x Annual Report o Special Financial Report for the fiscal year
Fiscal Year End
12-31-2020
Exact name of issuer as specified in the issuer's charter
JUVA LIFE INC./Canada
CIK
0001778651
Jurisdiction of Incorporation / Organization
BRITISH COLUMBIA, CANADA
I.R.S. Employer Identification Number
00-0000000

Address of Principal Executive Offices

Address 1
1400 - 885 WEST GEORGIA STREET
Address 2
City
VANCOUVER
State/Country
BRITISH COLUMBIA, CANADA
Mailing Zip/ Postal Code
V6C 3E8
Phone
833-333-5882
Title of each class of securities issued pursuant to Regulation A
Units (each consisting of one Common Share, no par value, and one-half of one Common Share Purchase Warrant) and Common Shares underlying Warrants

1-K: Summary Information Regarding Prior Offering and Proceeds

Summary Information

oThe following information must be provided for any Regulation A offering that has terminated or completed prior to the filing of this Form 1-K, unless such information has been previously reported in a manner permissible under Rule 257. If such information has been previously reported, check this box and leave the rest of Part I blank.

Commission File Number of the offering statement
024-11014
Date of qualification of the offering statement
08-20-2019
Date of commencement of the offering
08-23-2019
Amount of securities qualified to be sold in the offering
57000000
Amount of securities sold in the offering
36198782
Price per security
$ 0.5000
The portion of aggregate sales attributable to securities sold on behalf of the issuer
$ 18099391.00
The portion of the aggregate sales attributable to securities sold on behalf of selling securityholders
$ 0.00

Fees in connection with this offering and names of service providers.

Underwriters - Name of Service Provider
Underwriters - Fees
$ 0.00
Sales Commissions - Name of Service Provider
Dalmore Group
LLC
Sales Commissions - Fee
$ 236666.00
Finders' Fees - Name of Service Provider
Finders' Fees - Fees
$ 0.00
Audit - Name of Service Provider
Davidson & Company LLP
Audit - Fees
$ 74000.00
Legal - Name of Service Provider
Greenberg Traurig
McMillan
Legal - Fees
$ 85475.00
Promoters - Name of Service Provider
Promoters - Fees
$ 0.00
Blue Sky Compliance - Name of Service Provider
Various States
Blue Sky Compliance - Fees
$ 4700.00
CRD Number of any broker or dealer listed
000136352
Net proceeds to the issuer
$
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