0001477932-21-009242.txt : 20211214
0001477932-21-009242.hdr.sgml : 20211214
20211214155312
ACCESSION NUMBER: 0001477932-21-009242
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211208
FILED AS OF DATE: 20211214
DATE AS OF CHANGE: 20211214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Siokas Grigorios
CENTRAL INDEX KEY: 0001660125
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54436
FILM NUMBER: 211490930
MAIL ADDRESS:
STREET 1: 5 AG. GEORGIOU STR., PILEA
CITY: THESSALONIKI
STATE: J3
ZIP: TK57001
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cosmos Holdings Inc.
CENTRAL INDEX KEY: 0001474167
STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DRUGS PROPRIETARIES & DRUGGISTS' SUNDRIES [5122]
IRS NUMBER: 270611758
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 141 W. JACKSON BLVD
STREET 2: SUITE 4236
CITY: CHICAGO
STATE: IL
ZIP: 60604
BUSINESS PHONE: 312-536-3102
MAIL ADDRESS:
STREET 1: 141 W. JACKSON BLVD
STREET 2: SUITE 4236
CITY: CHICAGO
STATE: IL
ZIP: 60604
FORMER COMPANY:
FORMER CONFORMED NAME: PRIME ESTATES & DEVELOPMENTS INC
DATE OF NAME CHANGE: 20091008
4
1
form4.xml
FORM 4
X0306
4
2021-12-08-05:00
false
0001474167
Cosmos Holdings Inc.
COSM
0001660125
Siokas Grigorios
5 AG. GEORGIOU STR., PILEA
THESSALONIKI
J3
TK57001
GREECE
true
true
true
false
Chief Executive Officer
Common Stock, par value $.001 per share
2021-12-08-05:00
2021-12-08-05:00
4
P
false
125000
6.00
A
6834167
D
The shares will be issued pursuant to a Notice of Conversion dated December 8, 2021, pursuant to which Mr. Grigorios Siokas exchanged $750,000 of existing loans to the Company evidenced by a Convertible Promissory Note dated July 20, 2021.
/s/ Grigorios Siokas
2021-12-14-05:00