0001477932-22-008924.txt : 20221128 0001477932-22-008924.hdr.sgml : 20221128 20221128171916 ACCESSION NUMBER: 0001477932-22-008924 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221128 FILED AS OF DATE: 20221128 DATE AS OF CHANGE: 20221128 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: 001-41308 FILM NUMBER: 221426899 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 2022-11-28-05:00 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, $.001 par value 2022-11-28-05:00 2022-11-28-05:00 4 P false 801261 0.6215 A 20135429 D Series A Preferred Stock 0.6215 2022-11-28-05:00 2022-11-28-05:00 4 S false 498 0.6215 D 2022-02-28-05:00 Common Stock 1612177 1002 D Mr. Siokas acquired these shares upon conversion of 498 shares of Series A Convertible Preferred Stock ("Series A Shares"), $1,000.00 stated value per share, convertible at $0.62152 per share. Mr. Siokas converted the Series A Shares, as set forth in Note (1), above pursuant to a Conversion Notice dated November 28, 2022. N/A Each Series A Share with a stated value of $1,000.00 per share is convertible at $0.62152 per share. /s/ Grigorios Siokas 2022-11-28-05:00