Amended Statement of Ownership (sc 13g/a)
07 February 2023 - 08:13AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(Amendment No. 2)*
Evolus, Inc.
(Name of Issuer)
Common stock, par value $0.00001 per share
(Title of Class of Securities)
30052C107
(CUSIP Number)
December 31, 2022
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which
this Schedule is filed:
☐
Rule 13d-1(b)
☒
Rule 13d-1(c)
☐
Rule 13d-1(d)
* The remainder of this cover page shall be filled out for a
reporting person’s initial filing on this form with respect to the
subject class of securities, and for any subsequent amendment
containing information which would alter disclosures provided in a
prior cover page.
The information required in the remainder of this cover page shall
not be deemed to be “filed” for the purpose of Section 18 of the
Securities Exchange Act of 1934 (“Act”) or otherwise subject to the
liabilities of that section of the Act but shall be subject to all
other provisions of the Act (however, see the Notes).
CUSIP No. 30052C107 |
Schedule 13G |
Page
2 of 5 |
1 |
NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Medytox Inc.
|
2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐
(b) ☐
|
3 |
SEC USE ONLY
|
4 |
CITIZENSHIP OR PLACE OF
ORGANIZATION
Republic of Korea |
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH:
|
5 |
SOLE VOTING POWER
7,296,543 (1) |
6 |
SHARED VOTING POWER
0 |
7 |
SOLE DISPOSITIVE POWER
7,296,543 (1) |
8 |
SHARED DISPOSITIVE POWER
0 |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED
BY EACH REPORTING PERSON
7,296,543 (1) |
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (9) EXCLUDES CERTAIN SHARES ☐
|
11 |
PERCENT OF CLASS REPRESENTED BY
AMOUNT IN ROW (9)
12.97% (2) |
12 |
TYPE OF REPORTING PERSON
CO
|
|
|
|
|
|
|
(1) |
Consists of 37,043 shares of the
Issuer’s Common stock, par value $0.00001 per share (“Common
Stock”) held of record by Medytox Korea Co., Ltd., a wholly-owned
subsidiary of the Reporting Person. |
(2) |
Based on a total of 56,246,570
shares of Common Stock outstanding as of November 4, 2022, as
reported in the Issuer’s Quarterly Report Form 10-Q filed on
November 8, 2022. |
CUSIP No. 30052C107 |
Schedule 13G |
Page
3 of 5 |
Item 1(a). |
Name of Issuer: |
Evolus, Inc., a Delaware corporation (the “Issuer”)
Item 1(b). |
Address of Issuer’s Principal Executive
Offices: |
520 Newport Center Drive, Suite 1200
Newport Beach, CA 92660
Item 2(a). |
Name of Person Filing: |
Medytox Inc.
Items 2(b). |
Address of Principal Business Office or, if
none, Residence: |
Medytox Inc.
78 Gangni 1-gil Ochang-eup
Cheongwon-gu Cheongju-si
Chungcheongbuk-do 28126
Republic of Korea
Medytox Inc. is a company organized under the laws of the Republic
of Korea.
Item 2(d). |
Title of Class of Securities: |
Common stock, par value $0.00001 per share
Item 2(e). |
CUSIP NUMBER:
30052C107
|
Item 3. |
If This Statement is Filed Pursuant to Rule
13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is
a: |
Not Applicable.
|
(a) |
Amount beneficially owned:
Medytox Inc. - 7,296,543
|
|
(b) |
Percent of Class:
12.97%
|
|
(c) |
Number of shares as to which such person
has: |
|
(i) |
Sole power to vote or to direct the vote:
7,296,543
|
|
(ii) |
Shared power to vote or to direct the vote:
0
|
|
(iii) |
Sole power to dispose or to direct the disposition of:
7,296,543
|
|
(iv) |
Shared power to dispose or to direct the disposition of:
0
|
CUSIP No. 30052C107 |
Schedule 13G |
Page
4 of 5 |
Item 5. |
Ownership of 5 Percent or Less of a
Class. |
Not applicable.
Item 6. |
Ownership of More than 5 Percent on Behalf of
Another Person. |
Not applicable.
Item 7. |
Identification and Classification of the
Subsidiary Which Acquired the Security Being Reported on by the
Parent Holding Company or Control Person. |
Medytox Korea Co., Ltd.
Item 8. |
Identification and Classification of Members
of the Group. |
Not applicable.
Item 9. |
Notice of Dissolution of
Group. |
Not applicable.
By signing below I certify that, to the best of my knowledge and
belief, the securities referred to above were not acquired and are
not held for the purpose of or with the effect of changing or
influencing the control of the issuer of the securities and were
not acquired and not held in connection with or as a participant in
any transaction having that purpose or effect, other than in
connection with a nomination under §240.14a-11.
CUSIP No. 30052C107 |
Schedule 13G |
Page
5 of 5 |
SIGNATURE
After reasonable inquiry and to the best of my knowledge and
belief, I certify that the information set forth in this statement
is true, complete and correct.
Dated: February 6, 2023
|
MEDYTOX INC. |
|
|
|
By: |
/s/ Hyunho Jung |
|
Name: |
Hyunho Jung |
|
Title: |
Chief Executive Officer |
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