SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
ASE Test, Inc.

(Last) (First) (Middle)
10 WEST FIFTH STREET, NANZIH DISTRICT

(Street)
KAOHSIUNG F5 00000

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/03/2024
3. Issuer Name and Ticker or Trading Symbol
Ainos, Inc. [ AIMD ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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 $0.01 per share 29,411 D(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: 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
6% Convertible Note due 2025 03/13/2023 03/13/2025 Common Stock, par value $0.01 per share 282,666 $7.5 D(1)
6% Convertible Note due 2027 (2) (2) Common Stock, par value $0.01 per share 2,000,000 $4.5 D(1)
1. Name and Address of Reporting Person*
ASE Test, Inc.

(Last) (First) (Middle)
10 WEST FIFTH STREET, NANZIH DISTRICT

(Street)
KAOHSIUNG F5 00000

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
ASE Technology Holding Co., Ltd.

(Last) (First) (Middle)
26, CHIN 3RD ROAD
NANZIH DIST.

(Street)
KAOHSIUNG F5 00000

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. The securities reported herein are directly held by ASE Test, Inc., an indirectly wholly-owned subsidiary of ASE Technology Holding Co., Ltd. Accordingly, ASE Technology Holding Co., Ltd. is reporting indirect ownership of the securities held by ASE Test, Inc.
2. The Issuer and ASE Test, Inc. entered into a Convertible Note and Warrant Purchase Agreement, dated May 3, 2024. The closing date and date of issuance of the Convertible Note and Warrant willbe mutually determined by the parties. The expiration date of the notes will be three years from the date of issuance.
/s/ Alan Li, By: ASE Test, Inc., By: Alan Li, authorized signatory of ASE Test, Inc. 05/08/2024
/s/ Joseph Tung, authorized signatory of ASE Technology Holding Co., Ltd. 05/08/2024
** 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.
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