Small Company Offering and Sale of Securities Without Registration (d)
13 June 2022 - 08:07PM
Edgar (US Regulatory)
|
UNITED STATES SECURITIES
AND EXCHANGE COMMISSION
Washington, D.C.
FORM D
|
OMB APPROVAL
OMB Number: 3235-0076
Estimated Average burden hours per response: 4.0
|
Notice of Exempt Offering of
Securities
|
|
1. Issuer's Identity |
CIK (Filer ID
Number) |
Previous
Name(s) x
None |
Entity
Type |
0001786511
|
|
x Corporation
o Limited
Partnership
o Limited Liability
Company
o General
Partnership
o Business
Trust
o Other
|
Name of Issuer |
AnPac Bio-Medical
Science Co., Ltd.
|
Jurisdiction of
Incorporation/Organization |
VIRGIN ISLANDS, BRITISH |
|
Year of Incorporation/Organization |
|
x |
Over Five Years
Ago |
|
o |
Within Last Five
Years (Specify Year) |
|
|
o |
Yet to Be
Formed |
|
2. Principal Place of Business and Contact Information |
Name of
Issuer |
|
AnPac
Bio-Medical Science Co., Ltd. |
|
Street Address
1 |
Street Address
2 |
801 BIXING STREET, BIHU
COUNTY. |
|
City |
State/Province/Country |
ZIP/Postal Code |
Phone No. of
Issuer |
LISHUI |
CHINA |
323006 |
+86-5782-051-6666 |
Last
Name |
First
Name |
Middle
Name |
Yu |
Chris Chang |
|
Street Address
1 |
Street Address 2 |
801 BIXING STREET, BIHU COUNTY. |
|
City |
State/Province/Country |
ZIP/Postal
Code |
Lishui |
CHINA |
323006 |
Relationship: |
x |
Executive
Officer |
x |
Director |
o |
Promoter |
Clarification of
Response (if Necessary) |
|
|
Last
Name |
First
Name |
Middle
Name |
Chen |
Aidong |
|
Street Address
1 |
Street Address 2 |
801 BIXING STREET, BIHU COUNTY. |
|
City |
State/Province/Country |
ZIP/Postal
Code |
Lishui |
CHINA |
323006 |
Relationship: |
x |
Executive
Officer |
x |
Director |
o |
Promoter |
Clarification of
Response (if Necessary) |
|
|
Last
Name |
First
Name |
Middle
Name |
Guo |
Feng |
|
Street Address
1 |
Street Address 2 |
801 BIXING STREET, BIHU COUNTY |
|
City |
State/Province/Country |
ZIP/Postal
Code |
Lishui |
CHINA |
323006 |
Relationship: |
o |
Executive
Officer |
x |
Director |
o |
Promoter |
Clarification of
Response (if Necessary) |
|
|
Last
Name |
First
Name |
Middle
Name |
Liu |
Sheng |
|
Street Address
1 |
Street Address 2 |
801 BIXING STREET, BIHU COUNTY. |
|
City |
State/Province/Country |
ZIP/Postal
Code |
Lishui |
CHINA |
323006 |
Relationship: |
o |
Executive
Officer |
x |
Director |
o |
Promoter |
Clarification of
Response (if Necessary) |
|
|
Last
Name |
First
Name |
Middle
Name |
Xing |
Pu |
|
Street Address
1 |
Street Address 2 |
801 BIXING STREET, BIHU COUNTY. |
|
City |
State/Province/Country |
ZIP/Postal
Code |
Lishui |
CHINA |
323006 |
Relationship: |
o |
Executive
Officer |
x |
Director |
o |
Promoter |
Clarification of
Response (if Necessary) |
|
|
Last
Name |
First
Name |
Middle
Name |
Luo |
Ren |
|
Street Address
1 |
Street Address 2 |
801 BIXING STREET, BIHU COUNTY |
|
City |
State/Province/Country |
ZIP/Postal
Code |
Lishui |
CHINA |
323006 |
Relationship: |
o |
Executive
Officer |
x |
Director |
o |
Promoter |
Clarification of
Response (if Necessary) |
|
|
Last
Name |
First
Name |
Middle
Name |
Shao |
Jianhua |
|
Street Address
1 |
Street Address 2 |
801 BIXING STREET, BIHU COUNTY |
|
City |
State/Province/Country |
ZIP/Postal
Code |
Lishui |
CHINA |
323006 |
Relationship: |
o |
Executive
Officer |
x |
Director |
o |
Promoter |
Clarification of
Response (if Necessary) |
|
|
Last
Name |
First
Name |
Middle
Name |
Tang |
Jinqiu |
|
Street Address
1 |
Street Address 2 |
801 BIXING STREET, BIHU COUNTY |
|
City |
State/Province/Country |
ZIP/Postal
Code |
Lishui |
CHINA |
323006 |
Relationship: |
x |
Executive
Officer |
o |
Director |
o |
Promoter |
Clarification of
Response (if Necessary) |
|
|
Last
Name |
First
Name |
Middle
Name |
Yu |
He |
|
Street Address
1 |
Street Address 2 |
801 BIXING STREET, BIHU COUNTY |
|
City |
State/Province/Country |
ZIP/Postal
Code |
Lishui |
CHINA |
323006 |
Relationship: |
x |
Executive
Officer |
o |
Director |
o |
Promoter |
Clarification of
Response (if Necessary) |
|
|
Last
Name |
First
Name |
Middle
Name |
Du |
XueDong |
|
Street Address
1 |
Street Address 2 |
801 BIXING STREET, BIHU COUNTY |
|
City |
State/Province/Country |
ZIP/Postal
Code |
Lishui |
CHINA |
323006 |
Relationship: |
x |
Executive
Officer |
o |
Director |
o |
Promoter |
Clarification of
Response (if Necessary) |
|
|
Last
Name |
First
Name |
Middle
Name |
Dai |
Weidong |
|
Street Address
1 |
Street Address 2 |
801 BIXING STREET, BIHU COUNTY |
|
City |
State/Province/Country |
ZIP/Postal
Code |
Lishui |
CHINA |
323006 |
Relationship: |
x |
Executive
Officer |
o |
Director |
o |
Promoter |
Clarification of
Response (if Necessary) |
|
|
o |
Agriculture |
|
Health Care |
o |
Retailing |
|
Banking & Financial
Services |
|
x |
Biotechnology |
o |
Restaurants |
|
o |
Commercial
Banking |
|
o |
Health
Insurance |
|
Technology |
|
o |
Insurance |
|
o |
Hospitals &
Physicians |
|
o |
Computers |
|
o |
Investing |
|
o |
Pharmaceuticals |
|
o |
Telecommunications |
|
o |
Investment
Banking |
|
o |
Other Health
Care |
|
o |
Other
Technology |
|
o |
Pooled
Investment Fund
|
|
|
|
|
Travel |
|
o |
Other Banking &
Financial Services |
o |
Manufacturing |
|
o |
Airlines &
Airports |
|
Real Estate |
|
o |
Lodging &
Conventions |
|
o |
Commercial |
|
o |
Tourism &
Travel Services |
|
o |
Construction |
|
o |
Other
Travel |
|
o |
REITS &
Finance |
o |
Other |
|
o |
Residential |
|
|
o |
Other Real
Estate |
|
o |
Business Services |
|
|
Energy |
|
|
o |
Coal
Mining |
|
|
o |
Electric
Utilities |
|
|
o |
Energy
Conservation |
|
|
o |
Environmental
Services |
|
|
o |
Oil
& Gas |
|
|
o |
Other
Energy |
|
Revenue Range |
Aggregate Net Asset Value
Range |
o |
No
Revenues |
o |
No Aggregate Net
Asset Value |
o |
$1
- $1,000,000 |
o |
$1
- $5,000,000 |
o |
$1,000,001 -
$5,000,000 |
o |
$5,000,001 -
$25,000,000 |
o |
$5,000,001 -
$25,000,000 |
o |
$25,000,001 -
$50,000,000 |
o |
$25,000,001 -
$100,000,000 |
o |
$50,000,001 -
$100,000,000 |
o |
Over
$100,000,000 |
o |
Over
$100,000,000 |
x |
Decline to
Disclose |
o |
Decline to
Disclose |
o |
Not
Applicable |
o |
Not
Applicable |
6. Federal Exemption(s) and Exclusion(s) Claimed (select all that
apply) |
o |
Rule 504(b)(1) (not (i), (ii) or
(iii)) |
o |
Rule 505 |
o |
Rule 504 (b)(1)(i) |
x |
Rule 506(b) |
o |
Rule 504 (b)(1)(ii) |
o |
Rule 506(c) |
o |
Rule 504 (b)(1)(iii) |
o |
Securities Act Section
4(a)(5) |
|
o |
Investment Company Act Section
3(c) |
x |
New Notice |
Date of First
Sale |
2022-05-30 |
o |
First Sale Yet to Occur |
Does the Issuer intend this offering to last more than
one year? |
o |
Yes |
x |
No |
9. Type(s) of Securities Offered (select all that
apply) |
o |
Pooled Investment Fund
Interests |
x |
Equity |
o |
Tenant-in-Common Securities |
o |
Debt |
o |
Mineral Property Securities |
x |
Option, Warrant or Other Right to Acquire Another
Security |
x |
Security to be Acquired Upon Exercise of Option, Warrant or
Other Right to Acquire Security |
o |
Other (describe) |
|
|
10. Business Combination Transaction |
Is this offering being made in connection with a
business combination transaction, such as a merger, acquisition or
exchange offer? |
o |
Yes |
x |
No |
|
Clarification of Response (if Necessary) |
|
|
Minimum investment accepted from any
outside investor |
$ 0 USD |
Recipient |
Recipient CRD
Number |
o |
None |
|
|
(Associated) Broker or
Dealer |
o |
None |
(Associated) Broker or
Dealer CRD Number |
o |
None |
|
|
Street Address
1 |
Street Address
2 |
|
|
City |
State/Province/Country |
ZIP/Postal Code |
|
|
|
State(s) of
Solicitation |
o |
All States |
|
|
13. Offering and Sales Amounts |
Total Offering
Amount |
$ 1500000 USD |
o
Indefinite |
Total Amount
Sold |
$ 1500000 USD |
|
Total Remaining to
be Sold |
$ 0 USD |
o
Indefinite |
|
Clarification of
Response (if Necessary) |
Total proceeds received from private offering of
ADSs and prefunded ADSs warrants. |
o |
Select if securities in the offering have been or may
be sold to persons who do not qualify as accredited
investors,
Number of such non-accredited investors who already have
invested in the offering
|
|
|
Regardless of whether securities in the offering have been or
may be sold to persons who do not qualify as accredited investors,
enter the total number of investors who already have invested in
the offering: |
1 |
15. Sales Commissions & Finders’ Fees Expenses |
Provide separately the amounts of sales
commissions and finders' fees expenses, if any. If the amount of an
expenditure is not known, provide an estimate and check the box
next to the amount.
|
Sales Commissions |
$ 0 USD |
o |
Estimate |
Finders' Fees |
$ 0 USD |
o |
Estimate |
|
Clarification
of Response (if Necessary) |
|
Provide the amount of the gross proceeds of
the offering that has been or is proposed to be used for payments
to any of the persons required to be named as executive officers,
directors or promoters in response to Item 3 above. If the amount
is unknown, provide an estimate and check the box next to the
amount.
|
|
Clarification
of Response (if Necessary) |
The
issuer intends to use the net proceeds from the offering for
working capital and general business purposes. |
Please verify the
information you have entered and review the Terms of Submission
below before signing and clicking SUBMIT below to file this
notice. |
Terms of
Submission |
|
In submitting
this notice, each Issuer named above is: |
|
|
- Notifying the SEC and/or each State in which this notice
is filed of the offering of securities described and undertaking to
furnish them, upon written request, the information furnished to
offerees.
- Irrevocably appointing each of the Secretary of the SEC
and, the Securities Administrator or other legally designated
officer of the State in which the Issuer maintains its principal
place of business and any State in which this notice is filed, as
its agents for service of process, and agreeing that these persons
may accept service on its behalf, of any notice, process or
pleading, and further agreeing that such service may be made by
registered or certified mail, in any Federal or state action,
administrative proceeding, or arbitration brought against it in any
place subject to the jurisdiction of the United States, if the
action, proceeding or arbitration (a) arises out of any activity in
connection with the offering of securities that is the subject of
this notice, and (b) is founded, directly or indirectly, upon the
provisions of:� (i) the Securities Act of 1933, the Securities
Exchange Act of 1934, the Trust Indenture Act of 1939, the
Investment Company Act of 1940, or the Investment Advisers Act of
1940, or any rule or regulation under any of these statutes, or
(ii) the laws of the State in which the issuer maintains its
principal place of business or any State in which this notice is
filed.
- Certifying that, if the issuer is claiming a Regulation D
exemption for the offering, the issuer is not disqualified from
relying on Rule 504 or Rule 506 for one of the reasons stated in
Rule 504(b)(3) or Rule 506(d).
|
|
|
|
Each Issuer
identified above has read this notice, knows the contents to be
true, and has duly caused this notice to be signed on its behalf by
the undersigned duly authorized person. |
|
For signature,
type in the signer's name or other letters or characters adopted or
authorized as the signer's signature. |
Issuer |
Signature |
Name of Signer |
Title |
Date |
AnPac
Bio-Medical Science Co., Ltd. |
Chris
Chang Yu |
Chris
Chang Yu |
Co-Chairman
of the Board of Directors and Co-CEO |
2022-06-13 |
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