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