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