Initial Statement of Beneficial Ownership (3)
24 June 2023 - 7:31AM
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
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Wilson-Garling 2023 Family Trust |
2. Date of Event Requiring Statement (MM/DD/YYYY)
6/23/2023
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3. Issuer Name and Ticker or Trading Symbol
Nuburu, Inc. [BURU]
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(Last)
(First)
(Middle)
C/O NUBURU, INC., 7442 S TUCSON WAY, SUITE 130 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Street)
CENTENNIAL, CO 80112
(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) |
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 |
7% Convertible Promissory Notes due 2026 | 6/24/2023 (1)(2) | 6/23/2026 (1)(2) | Common Stock | 7267442 (1)(2) | $0.688 (1)(2) | D | |
Warrants (right to buy) (3) | 12/23/2023 | 6/23/2028 | Common Stock | 7267442 | $1.03 (4) | D | |
Explanation of Responses: |
(1) | The 7% convertible promissory notes with an aggregate principal amount of $5,000,000 ("Notes") were issued on June 13, 2023 ($2,000,000) and June 23, 2023 ($3,000,000) pursuant to that certain Note and Warrant Purchase Agreement, dated as of June 12, 2023, by and among Nuburu, Inc. (the "Issuer") and the investors listed on Schedule I thereto (the "Purchase Agreement"). The Notes and any accrued interest thereon are convertible at the option of the holder at any time following June 23, 2023 prior to repayment of the Notes into shares of the Issuer's common stock at a conversion price of $0.688 (subject to adjustment pursuant to the terms of the Notes). Interest accrues on the unpaid principal amount at a rate equal to 7% per annum, but it is not due and payable until the maturity date. |
(2) | (Continued from footnote 1) All unpaid principal, together with any then unpaid and accrued interest and other amounts payable under the Notes, will be due and payable on the earlier of (i) June 23, 2026, or (ii) following the occurrence of an event of default. |
(3) | The warrants to purchase an aggregate of 7,267,442 shares of the Issuer's common stock, par value $0.0001 per share (the "Warrants"), were issued pursuant to the Purchase Agreement in connection with the purchase of the Notes as partial consideration for the Notes. |
(4) | Subject to adjustment pursuant to the terms of the Warrants issued on June 13, 2023 (issuable for up to 2,906,977 shares of common stock) and June 23, 2023 (issuable for up to 4,360,465 shares of common stock) pursuant to the Purchase Agreement. |
Remarks: The Reporting Person may be deemed a member of a "group" for purposes of Section 13(d) of the Exchange Act. The Reporting Person disclaims beneficial ownership of the shares of the Issuer's common stock owned by the other members of the Section 13(d) group except to the extent of its pecuniary interest therein. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Wilson-Garling 2023 Family Trust C/O NUBURU, INC. 7442 S TUCSON WAY, SUITE 130 CENTENNIAL, CO 80112 |
| X |
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Signatures
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/s/ Jill Garling, as Trustee on behalf of the Wilson-Garling 2023 Family Trust | | 6/23/2023 |
**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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