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*
Wolkin Harold

(Last) (First) (Middle)
C/O NEWGIOCO GROUP, INC.
130 ADELAIDE STREET WEST, SUITE 701

(Street)
TORONTO A6 M5H 2K4

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/23/2018
3. Issuer Name and Ticker or Trading Symbol
Newgioco Group, Inc. [ NWGI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 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)
X Form filed by One Reporting Person
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 32,000 I Princeville Capital Corporation(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
Warrants to Purchase Common Stock(1) 05/31/2018 05/31/2020 Common Stock 50,000 $0.5 I Princeville Capital Corporation(1)
Convertible Debenture 05/31/2018 05/31/2020 Common Stock 385,071(2) $0.4 I Princeville Capital Corporation(1)
Explanation of Responses:
1. Represents shares of common stock issued to Princeville Capital Corporation ("Princeville"). The Reporting Person is the President of Princeville and his spouse is the Vice President of Princeville, and in such capacities, the Reporting Person and his spouse share voting and dispositive power over the securities held by such entity.
2. The Issuer issued Princeville a 10% convertible debenture in the principal amount of CAD $200,000 (or approximately $154,029 based upon the exchange rate on July 23, 2018 including interest accrued thereon).
/s/ Harold Wolkin 09/12/2018
** 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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