SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
X
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
  
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
Reyes Susan Raymundo

(Last) (First) (Middle)
743 FOX LANDING LANE

(Street)
KNOXVILLE TN 37922

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Healthcare Integrated Technologies Inc. [ HITC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Medical Officer
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
07/31/2024
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 07/31/2023 A4(1) 1,516,666 A $0.11 1,516,666 D
Common Stock 07/31/2024 A4(2) 258,360 A $0.1 258,360 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Holdings $0.4 3(3) 09/01/2020 09/01/2025 Common Stock 150,000 150,000 D
Holdings $0.4 3(3) 09/01/2021 09/01/2025 Common Stock 283,333 283,333 D
Holdings $0.4 3(3) 09/01/2022 09/01/2025 Common Stock 283,333 283,333 D
Holdings $0.4 3(3) 09/01/2023 09/01/2025 Common Stock 283,334 283,334 D
Explanation of Responses:
1. On July 31, 2023, the Board of Directors of the issuer approved the issuance of 1,516,666 shares of common stock to the Reporting Person as payment for compensation owed to her as of July 31, 2023 under her Employment Agreement dated September 1, 2020.
2. On July 31, 2024, the Board of Directors of the issuer approved the issuance of 258,360 shares of common stock to the Reporting Person as payment for compensation owed to her as of July 31, 2024 under her Employment Agreement dated January 31, 2024.
3. On September 1, 2020, the Reporting Person was appointed Chief Medical Officer of the issuer. Upon execution of an Employment Agreement dated on such date, the Reporting Person was awarded 1,000,000 common stock purchase options, all of which are currently vested.
/s/ Susan R. Reyes 08/07/2024
** 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 4 (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.
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