0001553997-20-000020.txt : 20201112
0001553997-20-000020.hdr.sgml : 20201112
20201112142610
ACCESSION NUMBER: 0001553997-20-000020
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201109
FILED AS OF DATE: 20201112
DATE AS OF CHANGE: 20201112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Emmons Clifford L
CENTRAL INDEX KEY: 0001743393
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50773
FILM NUMBER: 201305779
MAIL ADDRESS:
STREET 1: 24 FREEDOM TRAIL
CITY: DENNIS
STATE: MA
ZIP: 02638
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: IIOT-OXYS, Inc.
CENTRAL INDEX KEY: 0001290658
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 562415252
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 705 CAMBRIDGE ST.
CITY: CAMBRIDGE
STATE: MA
ZIP: 02141
BUSINESS PHONE: 401-307-3092
MAIL ADDRESS:
STREET 1: 705 CAMBRIDGE ST.
CITY: CAMBRIDGE
STATE: MA
ZIP: 02141
FORMER COMPANY:
FORMER CONFORMED NAME: Gotham Capital Holdings, Inc.
DATE OF NAME CHANGE: 20150805
FORMER COMPANY:
FORMER CONFORMED NAME: Creative Beauty Supply of New Jersey CORP
DATE OF NAME CHANGE: 20040517
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2020-11-09
0
0001290658
IIOT-OXYS, Inc.
ITOX
0001743393
Emmons Clifford L
24 FREEDOM TRAIL
DENNIS
MA
02638
1
1
1
0
CEO, President, Interim CFO
Common Stock
3060000
D
Common Stock
2020-11-09
4
U
1
780000
0
D
2280000
D
5% Secured Convertible Note
0.0008
2019-01-22
2021-01-22
Common Stock
71278571
73558571
I
LLC
Warrants
0.0008
2019-01-22
2024-01-22
Common Stock
36667
73595238
I
LLC
Series A Supervoting Preferred Stock
100
2020-11-09
4
U
1
7800
0
A
2020-11-09
2020-11-09
Common Stock
780000
74375238
D
On November 9, 2020, Mr. Emmons exchanged 780,000 shares of vested, unissued shares awarded pursuant to his Consulting Agreement for 7,800 shares of Series A Supervoting Preferred Stock.
The original $0.65 conversion price has been adjusted downward pursuant to the terms of the note.
The original note maturity date was extended by one year.
This represents the conversion of $55,000 in principal and accrued and unpaid interest of $4,874.
The original exercise price of $0.75 was adjusted downward pursuant to the terms of the Warrant Agreement.
Each share of Series A Supervoting Preferred Stock is convertible into 100 shares of Common Stock.
/s/ Clifford L. Emmons
2020-11-12