0001213900-21-052384.txt : 20211012
0001213900-21-052384.hdr.sgml : 20211012
20211012150343
ACCESSION NUMBER: 0001213900-21-052384
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210812
FILED AS OF DATE: 20211012
DATE AS OF CHANGE: 20211012
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hughes Michael Forrest
CENTRAL INDEX KEY: 0001852975
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40849
FILM NUMBER: 211318413
MAIL ADDRESS:
STREET 1: 21/6A GREENKNOWE AVE
CITY: ELIZABETH BAY
STATE: C3
ZIP: 2011
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Mawson Infrastructure Group Inc.
CENTRAL INDEX KEY: 0001218683
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374]
IRS NUMBER: 880445167
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: LEVEL 5, 97 PACIFIC HIGHWAY
CITY: NORTH SYDNEY NSW
STATE: C3
ZIP: 2060
BUSINESS PHONE: 61 02 8624 6130
MAIL ADDRESS:
STREET 1: LEVEL 5, 97 PACIFIC HIGHWAY
CITY: NORTH SYDNEY NSW
STATE: C3
ZIP: 2060
FORMER COMPANY:
FORMER CONFORMED NAME: Wize Pharma, Inc.
DATE OF NAME CHANGE: 20171120
FORMER COMPANY:
FORMER CONFORMED NAME: OphthaliX, Inc.
DATE OF NAME CHANGE: 20120207
FORMER COMPANY:
FORMER CONFORMED NAME: DENALI CONCRETE MANAGEMENT INC
DATE OF NAME CHANGE: 20030213
4
1
ownership.xml
X0306
4
2021-08-12
0
0001218683
Mawson Infrastructure Group Inc.
MIGI
0001852975
Hughes Michael Forrest
C/O MAWSON INFRASTRUCTURE GROUP, INC.
LEVEL 5, 97 PACIFIC HIGHWAY
NORTH SYDNEY
C3
NSW 2060
AUSTRALIA
1
0
0
0
Common Stock
2021-08-12
4
C
0
23025
3.48
A
23025
I
By Michael Hughes Family Trust
Common Stock
1608
D
Common Stock
357935
I
By spouse
Convertible Note
3.48
2021-08-12
4
C
0
80048.26
0
D
Common Stock
23025
0
I
By Michael Hughes Family Trust
The convertible note converted on August 12, 2021, and the Issuer effected a one-for-ten (1:10) reverse stock split on August 13, 2021. The share numbers reflect the Reporting Person's post-reverse stock split holdings, such that the numbers are current as of the date of the filing. The conversion price for the convertible note is also adjusted to conform with the post-reverse stock split share amount.
The earlier of (a) August 12, 2021; and (b) the admission of the Issuer's shares to quotation on the NASDAQ Stock Market.
The Convertible Note is required to be repaid on earliest of: (a) a trustee, receiver or other custodian is appointed for the Issuer, or the Issuer makes a general assignment for the benefit of its creditors; (b) the Issuer files for bankruptcy (c) an involuntary petition is filed against the Issuer (unless such petition is dismissed or discharged within 60 days under any bankruptcy statute now or hereafter in effect or a custodian, receiver, trustee, assignee for the benefit of creditors (or other similar official) is appointed to take possession, custody or control of any property of the Issuer; or (d) the Issuer resolves to dissolve.
/s/ Michael Hughes
2021-10-12