Initial Statement of Beneficial Ownership (3)
14 April 2023 - 10:01PM
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
*
Xu Xiuzhen |
2. Date of Event Requiring Statement (MM/DD/YYYY)
4/4/2022
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3. Issuer Name and Ticker or Trading Symbol
China Green Agriculture, Inc. [CGA]
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(Last)
(First)
(Middle)
NO.39, GROUP NO.1 GANGANG VILLAGE, WULIE COUNTY |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner
_____ Officer (give title below) ___X___ Other (specify below)
/ Co-CEO's Mother |
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(Street)
DONGTAI, F4 PRC 224200
(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) |
| Common Stock, par value $0.001 | 2286857 (1)(2) | I | By Self and Son (Co-Chief executive Officer) as Sole Trustees for Django Creek Trust |
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) | On April 4, 2022, the reporting person purchased 2,286,857 shares of the Issuer's Common Stock (the "Shares") directly from the Issuer at $15 per share. The purchase was made pursuant to a Share Purchase Agreement dated November 23, 2021 (the "SPA") in transactions exempt from registration under the Securities Act of 1933, as amended (the "Securities Act"), in reliance on an exemption provided by Rule 903 of Regulation S and/or Section 4(a)(2) of the Securities Act. |
| (2) | On April 12, 2023, the reporting person deposited the Shares to Django Creek Trust for which the reporting person and his son, Mr. Pan Zhibiao who serves as the Issuer's Co-Chief Executive Officer are the sole trustees. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Xu Xiuzhen
NO.39, GROUP NO.1 GANGANG VILLAGE
WULIE COUNTY
DONGTAI, F4 PRC 224200 |
| X |
| Co-CEO's Mother |
Signatures
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| /s/ Xu Xiuzhen | | 4/13/2023 |
| **Signature of Reporting Person | Date |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
| * | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
| ** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
| 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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