0001213900-18-005682.txt : 20180508 0001213900-18-005682.hdr.sgml : 20180508 20180508154748 ACCESSION NUMBER: 0001213900-18-005682 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170630 FILED AS OF DATE: 20180508 DATE AS OF CHANGE: 20180508 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Yazbeck Daniel, Rida CENTRAL INDEX KEY: 0001640798 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55596 FILM NUMBER: 18814383 MAIL ADDRESS: STREET 1: 5574 CAMINITO CONSUELO CITY: LA JOLLA STATE: CA ZIP: 92037 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MyDx, Inc. CENTRAL INDEX KEY: 0001582341 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 990384160 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6335 FERRIS SQUARE STREET 2: SUITE B CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 800-814-4550 MAIL ADDRESS: STREET 1: 6335 FERRIS SQUARE STREET 2: SUITE B CITY: SAN DIEGO STATE: CA ZIP: 92121 FORMER COMPANY: FORMER CONFORMED NAME: BRISTA CORP. DATE OF NAME CHANGE: 20130724 4 1 f4063017yazbeck_mydx.xml OWNERSHIP DOCUMENT X0306 4 2017-06-30 0 0001582341 MyDx, Inc. MYDX 0001640798 Yazbeck Daniel, Rida 6335 FERRIS SQUARE, SUITE B SAN DIEGO CA 92121 1 1 1 0 Chairman of the Board and CEO Common Stock 2018-05-07 2018-05-07 4 J 0 1750000000 A 1789351606 I See Footnote Preferred Stock (Series B Convertible) 0.0001 2017-06-30 2017-06-30 4 J 0 100000 0.50 D 2016-12-23 Common Stock 1000000000 200000 I YCIG, Inc. Preferred Stock (Series B Convertible) 0.0001 2018-05-07 2018-05-07 4 C 0 175000 D 2016-12-23 Common Stock 1750000000 25000 I YCIG, Inc. On May 7, 2018, Mr. Yazbeck converted 175,000 shares of Series B Convertible Preferred Stock into shares of Common Stock via a cashless conversion of the stated value of $1.00 per Series B share divided by a conversion price of $0.0001 per share for an issuance of 1,750,000,000 shares of Common Stock. Beneficial ownership of Daniel R. Yazbeck, directly and indirectly, as of the date of the filing of this Form 4 consists of 10,000 shares held directly by Mr. Yazbeck, 9,132,500 shares held by seven trusts for which Mr. Yazbeck serves as trustee, and 1,780,000,000 shares held by Mr. Yazbeck and YCIG, Inc. (an entity over whose securities Mr. Yazbeck has sole voting and sole investment control). On June 30, 2017, Mr. Yazbeck sold 100,000 shares of Series B Preferred for gross proceeds of $50,000. /s/ Daniel Yazbeck 2018-05-08