0001066152-22-000002.txt : 20220225
0001066152-22-000002.hdr.sgml : 20220225
20220225162457
ACCESSION NUMBER: 0001066152-22-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220223
FILED AS OF DATE: 20220225
DATE AS OF CHANGE: 20220225
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HOA CAPITAL LLC
CENTRAL INDEX KEY: 0001804093
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36763
FILM NUMBER: 22680456
BUSINESS ADDRESS:
STREET 1: 1306 W KENNEDY BOULEVARD
CITY: TAMPA
STATE: FL
ZIP: 33606
BUSINESS PHONE: 813 251 0955
MAIL ADDRESS:
STREET 1: 1306 W KENNEDY BOULEVARD
CITY: TAMPA
STATE: FL
ZIP: 33606
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FWHC HOLDINGS, LLC
CENTRAL INDEX KEY: 0001804089
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36763
FILM NUMBER: 22680457
BUSINESS ADDRESS:
STREET 1: 1306 W KENNEDY BOULEVARD
CITY: TAMPA
STATE: FL
ZIP: 33606
BUSINESS PHONE: 813 251 0955
MAIL ADDRESS:
STREET 1: 1306 W KENNEDY BOULEVARD
CITY: TAMPA
STATE: FL
ZIP: 33606
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FWHC BRIDGE FRIENDS, LLC
CENTRAL INDEX KEY: 0001850963
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36763
FILM NUMBER: 22680455
BUSINESS ADDRESS:
STREET 1: 1306 W KENNEDY BOULEVARD
CITY: TAMPA
STATE: FL
ZIP: 33606
BUSINESS PHONE: 813 251 0955
MAIL ADDRESS:
STREET 1: 1306 W KENNEDY BOULEVARD
CITY: TAMPA
STATE: FL
ZIP: 33606
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FARRIOR J REX III
CENTRAL INDEX KEY: 0001804351
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36763
FILM NUMBER: 22680458
MAIL ADDRESS:
STREET 1: 1306 W KENNEDY BOULEVARD
CITY: TAMPA
STATE: FL
ZIP: 33606
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: H-CYTE, INC.
CENTRAL INDEX KEY: 0001591165
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 463312262
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 201 E KENNEDY BLVD STE 700
CITY: TAMPA
STATE: FL
ZIP: 33602
BUSINESS PHONE: 844-633-6839
MAIL ADDRESS:
STREET 1: 201 E KENNEDY BLVD STE 700
CITY: TAMPA
STATE: FL
ZIP: 33602
FORMER COMPANY:
FORMER CONFORMED NAME: Medovex Corp.
DATE OF NAME CHANGE: 20140501
FORMER COMPANY:
FORMER CONFORMED NAME: SpineZ
DATE OF NAME CHANGE: 20131105
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2022-02-23
0
0001591165
H-CYTE, INC.
HCYT
0001804351
FARRIOR J REX III
1306 W KENNEDY BOULEVARD
TAMPA
FL
33606
0
0
1
0
0001804089
FWHC HOLDINGS, LLC
1306 W KENNEDY BOULEVARD
TAMPA
FL
33606
0
0
1
0
0001804093
HOA CAPITAL LLC
1306 W KENNEDY BOULEVARD
TAMPA
FL
33606
0
0
1
0
0001850963
FWHC BRIDGE FRIENDS, LLC
1306 W KENNEDY BOULEVARD
TAMPA
FL
33606
0
0
1
0
COMMON STOCK
2022-02-23
4
M
0
693477
0.014
A
16211588
I
(SEE FOOTNOTE)
STOCK PURCHASE WARRANTS
0.014
2022-02-23
4
M
0
693477
D
2020-09-24
2030-09-24
COMMON STOCK
693477
6794586
I
(SEE FOOTNOTE)
STOCK PURCHASE WARRANTS
0.014
2022-02-23
4
A
0
693477
0.014
A
2022-02-23
2027-02-23
COMMON STOCK
693477
693477
I
(SEE FOOTNOTE)
Common stock held directly by FWHC Holdings, LLC (FHWC) and FWHC Bridge Friends, LLC (Bridge Friends), Series A preferred stock and warrants held directly by Bridge Friends. All held indirectly by HOA Capital LLC (HOA), the sole manager of FWHC and Bridge Friends, and J. Rex Farrior, III, the sole manager of HOA. Each of the reporting persons disclaims beneficial ownership of the securities except to the extent of its or his pecuniary interest therein.
Received in connection with variable conversion price notes. No additional consideration was paid for warrants. Exercise price became fixed at closing of Qualified Financing.
/s/ J. Rex Farrior, III
2022-02-25
/s/ J. Rex Farrior, III, o/b/o FWHC Holdings, LLC
2022-02-25
/s/ J. Rex Farrior, III, o/b/o HOA Capital LLC
2022-02-25
/s/ J. Rex Farrior, III, o/b/o FWHC Bridge Friends, LLC
2022-02-25