-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, J5RCJa2Z7JiXF7pwhI33isbI38glrZM2Zujcy6iH1IhGbn9CRrMJj7xy2bVaTh/+ njM2LIGe4gyH5LudsO6e7Q== 0001019687-08-004543.txt : 20081014 0001019687-08-004543.hdr.sgml : 20081013 20081014172312 ACCESSION NUMBER: 0001019687-08-004543 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20081014 DATE AS OF CHANGE: 20081014 GROUP MEMBERS: ANDREI SEMECHKIN GROUP MEMBERS: ROUSLAN SEMECHKIN GROUP MEMBERS: X-MASTER, INC. SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: International Stem Cell CORP CENTRAL INDEX KEY: 0001355790 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 204494098 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-81859 FILM NUMBER: 081123308 BUSINESS ADDRESS: STREET 1: 2595 JASON COURT CITY: OCEANSIDE STATE: CA ZIP: 92056 BUSINESS PHONE: 760-940-6383 MAIL ADDRESS: STREET 1: 2595 JASON COURT CITY: OCEANSIDE STATE: CA ZIP: 92056 FORMER COMPANY: FORMER CONFORMED NAME: BTHC III INC. DATE OF NAME CHANGE: 20060310 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: X-Master, Inc. CENTRAL INDEX KEY: 0001447709 IRS NUMBER: 020481464 STATE OF INCORPORATION: NH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 1 OVERLOOK DR. UNIT 11 CITY: AMHERST STATE: NH ZIP: 03031 BUSINESS PHONE: 603-672-7070 MAIL ADDRESS: STREET 1: 1 OVERLOOK DR. UNIT 11 CITY: AMHERST STATE: NH ZIP: 03031 SC 13G 1 interstem_sc13g-101408.htm interstem_sc13g-101408.htm
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
SCHEDULE 13G
 
Under the Securities Exchange Act of 1934
 

International Stem Cell Corporation

(Name of Issuer)

Common Stock, par value $0.001 per share

(Title of Class of Securities)

05577Y107

(CUSIP Number)

September 23, 2008

 (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)
 
[x] 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 the 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).
 
Page 1 of 10

       
   
(1)  Names of reporting persons; 
       
 
X-Master, Inc. 
   
       
(2)    Check the appropriate box if a member of a group 
    (a)  [   ]   
       
    (b)  [   ]   
       
(3)    SEC use only     
       
       
(4) 
Citizenship or place of organization 
       
  A New Hampshire Corporation 
       
Number of shares beneficially owned by each reporting person with: 
       
(5)
Sole voting power
-0-
 
       
(6)
Shared voting power
8,000,000
(Includes 2,000,000 shares of Series C preferred stock convertible into common stock, par value $0.001 per share, at a conversion rate of $0.25 per share, currently held by X-Master, Inc. for a total of 8,000,000 shares.)
 
(7)
Sole dispositive power
-0-
 
       
(8)
Shared dispositive power
8,000,000
(Includes 2,000,000 shares of Series C preferred stock convertible into common stock, par value $0.001 per share, at a conversion rate of $0.25 per share, currently held by X-Master, Inc. for a total of 8,000,000 shares.)
 
(9)    Aggregate amount beneficially owned by each reporting person.  
       
 
8,000,000 
(Includes 2,000,000 shares of Series C preferred stock convertible into common stock, par value $0.001 per share, at a conversion rate of $0.25 per share, currently held by X-Master, Inc. for a total of 8,000,000 shares.)
     
(10)   Check if the aggregate amount in Row (9) excludes certain shares (see instructions). 
       
  [  ]     
       
(11)  Percent of class represented by amount in Row (9) 
       
 
18.5% 
(Includes 2,000,000 shares of Series C preferred stock convertible into common stock, par value $0.001 per share, at a conversion rate of $0.25 per share, currently held by X-Master, Inc. for a total of 8,000,000 shares.)   
     
(12)  Type of reporting person   
       
  CO     
 
 
Page 2 of 10

 
   
(1)  Names of reporting persons; 
       
 
Andrei Semechkin
   
       
(2)    Check the appropriate box if a member of a group 
    (a)  [   ]   
       
    (b)  [   ]   
       
(3)    SEC use only     
       
       
(4) 
Citizenship or place of organization 
       
  Citizen of Russia
       
Number of shares beneficially owned by each reporting person with: 
       
(5)
Sole voting power
-0-
 
       
(6)
Shared voting power
8,000,000
(Includes 2,000,000 shares of Series C preferred stock convertible into common stock, par value $0.001 per share, at a conversion rate of $0.25 per share, currently held by X-Master, Inc. of which Mr. Semechkin is Director and sole shareholder for a total of 8,000,000 shares.)
 
(7)
Sole dispositive power
-0-
 
       
(8)
Shared dispositive power
8,000,000
(Includes 2,000,000 shares of Series C preferred stock convertible into common stock, par value $0.001 per share, at a conversion rate of $0.25 per share, currently held by X-Master, Inc. of which Mr. Semechkin is Director and sole shareholder for a total of 8,000,000 shares.)
 
(9)    Aggregate amount beneficially owned by each reporting person.  
       
 
8,000,000 
(Includes 2,000,000 shares of Series C preferred stock convertible into common stock, par value $0.001 per share, at a conversion rate of $0.25 per share, currently held by X-Master, Inc. of which Mr. Semechkin is Director and sole shareholder for a total of 8,000,000 shares.)
     
(10)   Check if the aggregate amount in Row (9) excludes certain shares (see instructions). 
       
  [  ]     
       
(11)  Percent of class represented by amount in Row (9) 
       
 
18.5% 
(Includes 2,000,000 shares of Series C preferred stock convertible into common stock, par value $0.001 per share, at a conversion rate of $0.25 per share, currently held by X-Master, Inc. of which Mr. Semechkin is Director and sole shareholder for a total of 8,000,000 shares.)
     
(12)  Type of reporting person   
       
  IN     
 
Page 3 of 10

 
   
(1)  Names of reporting persons; 
       
 
Rouslan Semechkin
   
       
(2)    Check the appropriate box if a member of a group 
    (a)  [   ]   
       
    (b)  [   ]   
       
(3)    SEC use only     
       
       
(4) 
Citizenship or place of organization 
       
  Citizen of Russia
       
Number of shares beneficially owned by each reporting person with: 
       
(5)
Sole voting power
25,630
(Includes 25,630 shares of common stock currently held by Mr. Semechkin.) 
       
(6)
Shared voting power
8,000,000
(Includes 2,000,000 shares of Series C preferred stock convertible into common stock, par value $0.001 per share, at a conversion rate of $0.25 per share, currently held by X-Master, Inc. of which Mr. Semechkin is President.)
 
(7)
Sole dispositive power
25,630
(Includes 25,630 shares of common stock currently held by Mr. Semechkin.) 
       
(8)
Shared dispositive power
8,000,000
(Includes 2,000,000 shares of Series C preferred stock convertible into common stock, par value $0.001 per share, at a conversion rate of $0.25 per share, currently held by X-Master, Inc. of which Mr. Semechkin is President.)
       
(9)    Aggregate amount beneficially owned by each reporting person.  
       
 
8,025,630
(Includes 2,000,000 shares of Series C preferred stock convertible into common stock, par value $0.001 per share, at a conversion rate of $0.25 per share, currently held by X-Master, Inc. of which Mr. Semechkin is President; and 25,630 shares of common stock currently held by Mr. Semechkin for a total of 8,025,630 shares.)
     
(10)   Check if the aggregate amount in Row (9) excludes certain shares (see instructions). 
       
  [  ]     
       
(11)  Percent of class represented by amount in Row (9) 
       
 
18.5% 
(Includes 2,000,000 shares of Series C preferred stock convertible into common stock, par value $0.001 per share, at a conversion rate of $0.25 per share, currently held by X-Master, Inc. of which Mr. Semechkin is President; and 25,630 shares of common stock currently held by Mr. Semechkin for a total of 8,025,630 shares.)
     
(12)  Type of reporting person   
       
  IN     
 
Page 4 of 10


Item 1.
(a)  
Name of issuer

International Stem Cell Corporation

(b)  
Address of issuer's principal executive offices

2595 Jason Court, Oceanside, California 92056
 
Item 2.
 
(a)  
Name of person filing
 
X-Master, Inc.
Andrei Semechkin
Rouslan Semechkin

(b)  
Address or principal business office or, if none, residence

X-Master, Inc.
1 Overlook Drive, Unit 11
Amherst, NH 03031

Andrei Semechkin
1 Overlook Drive, Unit 11
Amherst, NH 03031

Rouslan Semechkin
1 Overlook Drive, Unit 11
Amherst, NH 03031
 
(b)  
Citizenship
 
X-Master, Inc.                          A New Hampshire Corporation
 
Andrei Semechkin                   Citizen of Russia
 
Rouslan Semechkin                 Citizen of Russia
 
(d)  
Title of class of securities
 
Common Stock, par value $0.001 per share
 
(e)  
CUSIP No.
 
05577Y107
 
Page 5 of 10

 
Item 3.   If this statement is filed pursuant to §§240.13d–1(b) or 240.13d–2(b) or (c), check whether the person filing is a:
 
(a) [ ] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).
 
(b) [ ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).
 
(c) [ ] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).
 
(d) [ ] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a–8).
 
(e) [ ] An investment adviser in accordance with §240.13d–1(b)(1)(ii)(E);
 
(f) [ ] An employee benefit plan or endowment fund in accordance with §240.13d–1(b)(1)(ii)(F);
 
(g) [ ] A parent holding company or control person in accordance with §240.13d–1(b)(1)(ii)(G);
 
(h) [ ] A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
 
(i) [ ] A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a–3);
 
(j) [ ] Group, in accordance with §240.13d–1(b)(1)(ii)(J).
 
Item 4.  Ownership
 
(a) Amount beneficially owned:
 
X-Master, Inc.:                 8,000,000
Andrei Semechkin:          8,000,000
Rouslan Semechkin:        8,025,630
 
(b) Percent of class:
 
X-Master, Inc.:                 18.5%
Andrei Semechkin:           18.5%
Rouslan Semechkin:         18.5%
 
Page 6 of 10

 
(c) Number of shares as to which X-Master, Inc. has:
 
(i) Sole power to vote or to direct the vote: 0
 
(ii) Shared power to vote or to direct the vote: 8,000,000
 
(iii) Sole power to dispose or to direct the disposition of: 0
 
(iv) Shared power to dispose or to direct the disposition of: 8,000,000
 
Number of shares as to which Andrei Semechkin has:
 
(i) Sole power to vote or to direct the vote: 0
 
(ii) Shared power to vote or to direct the vote: 8,000,000
 
(iii) Sole power to dispose or to direct the disposition of: 0
 
(iv) Shared power to dispose or to direct the disposition of: 8,000,000
 
Number of shares as to which Rouslan Semechkin has:
 
(i) Sole power to vote or to direct the vote: 25,630
 
(ii) Shared power to vote or to direct the vote: 8,000,000
 
(iii) Sole power to dispose or to direct the disposition of: 25,630
 
(iv) Shared power to dispose or to direct the disposition of: 8,000,000
 
Item 5.  Ownership of 5 Percent or Less of a Class.
 
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following [  ].
 
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.
 
Not Applicable.
 
Page 7 of 10

 
Item 8. Identification and Classification of Members of the Group
 
See Item 2(a)-(c).
 
Item 9. Notice of Dissolution of Group.
 
Not Applicable.
 
Item 10. Certifications
 
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 are not held in connection with or as a participant in any transaction having that purpose or effect.
 
 
[SIGNATURE PAGE FOLLOWS]
 
 

Page 8 of 10

 
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: October 14, 2008  X-MASTER, INC. 
   
   
  By: /s/ Rouslan Semechkin                                       
  Name:  Rouslan Semechkin 
  Title: President 
   
   
  /s/ Andrei Semechkin                                                 
  Andrei Semechkin 
   
   
  /s/ Rouslan Semechkin                                               
  Rouslan Semechkin 
   
 
 
Page 9 of 10

 
AGREEMENT OF JOINT FILING
 
Pursuant to Rule 13d-1(k)(1) under the Securities Exchange Act of 1934, as amended, the undersigned hereby consent to the joint filing on their behalf of a single Schedule 13G and any amendments thereto, with respect to the beneficial ownership by each of the undersigned of shares of common stock, $0.001 par value, of International Stem Cell Corporation, a Delaware corporation. The undersigned hereby further agree that this statement may be executed in any number of counterparts, each of which when so executed shall be deemed to be an original, but all of which counterparts shall together constitute one and the same instrument.
 
Dated: October 14, 2008 
X-MASTER, INC. 
   
   
  By: /s/ Rouslan Semechkin                                       
  Name:  Rouslan Semechkin 
  Title: President 
   
   
  /s/ Andrei Semechkin                                                 
  Andrei Semechkin 
   
   
  /s/ Rouslan Semechkin                                               
  Rouslan Semechkin 
   
 
 
 
Page 10 of 10
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