SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LIN LAWRENCE K

(Last) (First) (Middle)
8880 RIO SAN DIEGO DRIVE, SUITE 800

(Street)
SAN DIEGO CA 92108

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Ainos, Inc. [ AIMD ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
E.V.P. OF OPERATIONS
3. Date of Earliest Transaction (Month/Day/Year)
11/24/2023
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock(1) 11/24/2023 A 10,000 A $0.6 54,504 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrants(2) (2) 11/24/2023(2) A 30,174 (2) (2) Warrants 30,174 (2) 30,174 I owned by i2China
Options(3) (3) 11/24/2023(3) A 11,111 (3) (3) Options 11,111 (3) 11,111 D
RSU(4) (4) 11/24/2023(4) A 12,000 (4) (4) RSU 12,000 (4) 12,000 D
Explanation of Responses:
1. Reference is a made to a Special Stock Award pursuant to approval on October 11, 2023 by the Company's Board of Directors and Shareholders by Action by Written Consent. Prior to the Special Stock Award, Mr. Lin beneficially owned 44,504 common stock consisting of 16,947 held individually and 27,577 owned by i2China Management LLC of which Mr. Lin is the sole member.
2. Reference is made to 30,174 shares reserved for warrants, beneficially owned by i2China on demand.
3. Reference is made to 11,111 options vested from the Company's 2018 NQSOP.
4. Reference is made to 12,000 RSUs that were granted on August 15, 2013 pursuant to the Company's 2023 Stock Incentive Plan. The RSUs vest in increments of 15% on 2/15/24, 15% on 8/15/24, 30% on 8/15/25, and 40% on 8/15/26 subject to normal and customary termination events.
/s/ John Junyong Lee per POA for Lin, Lawrence K 11/28/2023
** 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 4 (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 Number.