Amended Statement of Beneficial Ownership (3/a)
11 November 2021 - 8:59AM
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
*
Fink Richard Lee |
2. Date of Event Requiring Statement (MM/DD/YYYY)
5/10/2020
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3. Issuer Name and Ticker or Trading Symbol
Nano Magic Holdings Inc. [NMGX]
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(Last)
(First)
(Middle)
31601 RESEARCH PARK DR |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner
___X___ Officer (give title below) _____ Other (specify below)
Pres, Applied Nanotech, Inc. / |
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(Street)
MADISON HEIGHTS, MI 48701
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
5/14/2020
| 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) |
| Class A common stock Note (1) | 17500 | D | |
| Class A common stock | 12750 | I | Note (2) |
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 |
| Option | 1/28/2011 | 1/28/2021 | Class A common stock | 978 | $79.20 | D | |
| Option | 2/2/2012 | 2/2/2022 | Class A common stock | 42 | $61.20 | D | |
| Option | 4/13/2012 | 4/13/2022 | Class A common stock | 42 | $41.40 | D | |
| Warrant | 9/6/2019 | 3/25/2024 | Class A common stock | 15348 | $1.50 | I | Note (2) |
| Explanation of Responses: |
| (1) | Amended to reflect ownership of restricted stock inadvertently omitted from original Form 3 filing. |
| (2) | Held indirectly through investment in LLC that owns common stock and warrants. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Fink Richard Lee
31601 RESEARCH PARK DR
MADISON HEIGHTS, MI 48701 |
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| Pres, Applied Nanotech, Inc. |
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Signatures
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| /s/ Richard Fink | | 11/10/2021 |
| **Signature of Reporting Person | Date |
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