0001654954-22-004743.txt : 20220408 0001654954-22-004743.hdr.sgml : 20220408 20220408094912 ACCESSION NUMBER: 0001654954-22-004743 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220331 FILED AS OF DATE: 20220408 DATE AS OF CHANGE: 20220408 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wu Hui-Lan CENTRAL INDEX KEY: 0001901988 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20791 FILM NUMBER: 22815657 MAIL ADDRESS: STREET 1: 8880 RIO SAN DIEGO DRIVE STREET 2: SUITE 800 CITY: SAN DIEGO STATE: CA ZIP: 92108 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Ainos, Inc. CENTRAL INDEX KEY: 0001014763 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 751974352 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: AINOS, INC. STREET 2: 8880 RIO SAN DIEGO DRIVE SUITE 800 CITY: SAN DIEGO STATE: CA ZIP: 92108 BUSINESS PHONE: 858-869-2986 MAIL ADDRESS: STREET 1: AINOS, INC. STREET 2: 8880 RIO SAN DIEGO DRIVE SUITE 800 CITY: SAN DIEGO STATE: CA ZIP: 92108 FORMER COMPANY: FORMER CONFORMED NAME: AMARILLO BIOSCIENCES INC DATE OF NAME CHANGE: 19960516 4 1 section16.xml FORM 4 X0306 4 2022-03-31 0001014763 Ainos, Inc. AIMD 0001901988 Wu Hui-Lan 8880 RIO SAN DIEGO DRIVE, SUITE 800 SAN DIEGO CA 92108 false true false false Chief Financial Officer Common Stock 168000 D Common Stock 63000 I Daughter Convertible Note 2022-04-05 4 S false 50000 50000 A 2027-04-30 2027-04-30 Common Stock 50000 50000 I Daughter Yun-Han Liao is Hui-Lan Wu's daughter Reference is made to that certain Convertible Note Purchase Agreement and Convertible Promissory Note ("Note") in the principal amount of $50,000 between the Issuer and the Reporting Person's daughter, Yu-Huan Liao. The Note bears no interest, matures on March 30, 2027, and is subject to mandatory conversion at a conversion price of 80% of an initial property offering price (if the Issuer conducts an initial public offering). /s/ John Junyong Lee POA for Hui-Lan Wu 2022-04-08