FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/30/2024 |
3. Issuer Name and Ticker or Trading Symbol
NuZee, Inc. [ NUZE ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Convertible Note | 04/30/2024 | (1) | Common Stock | 82,930 | $1.447 | I | See Footnotes(2) |
Warrant | 04/30/2024 | 04/30/2026 | Common Stock | 82,930 | $1.322 | I | See Footnotes(3) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. Pursuant to the convertible promissory note (the "Note") dated April 30, 2024, the issuer shall pay the reporting person, an amount in cash representing all outstanding principal, accrued and unpaid interest, and any other amounts outstanding pursuant to the terms of the Note on April 30, 2025 ("Maturity Date"). The Note will be convertible into the issuer's common stock until it is fully paid. |
2. Yumei Liu beneficially owns a convertible note convertible into 82,930 shares of common stock of the Issuer through her 100% ownership of Future science and Technology Co. Ltd. |
3. Yumei Liu beneficially owns the warrant exercisable to purchase 82,930 shares of common stock of the Issuer through her 100% ownership of Future science and Technology Co. Ltd. |
/s/ Future science and Technology Co. Ltd by its director, Tong Sun | 05/08/2024 | |
/s/ Yumei Liu | 05/08/2024 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |