0000899243-16-015246.txt : 20160304 0000899243-16-015246.hdr.sgml : 20160304 20160304112411 ACCESSION NUMBER: 0000899243-16-015246 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151229 FILED AS OF DATE: 20160304 DATE AS OF CHANGE: 20160304 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HELIUS MEDICAL TECHNOLOGIES, INC. CENTRAL INDEX KEY: 0001610853 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 000000000 STATE OF INCORPORATION: WY FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: SUITE 400, 41 UNIVERSITY DRIVE CITY: NEWTOWN STATE: PA ZIP: 18940 BUSINESS PHONE: 215-809-2018 MAIL ADDRESS: STREET 1: SUITE 400, 41 UNIVERSITY DRIVE CITY: NEWTOWN STATE: PA ZIP: 18940 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lam Kong CENTRAL INDEX KEY: 0001668079 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55364 FILM NUMBER: 161484038 MAIL ADDRESS: STREET 1: 8/F BLDG A, TONGFANG INFORMATION HARBOR STREET 2: NO 11 LANGSHAN ROAD, NANSHAN DISTRICT CITY: SHENZHEN STATE: F4 ZIP: 518057 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: A&B Brother Ltd CENTRAL INDEX KEY: 0001667405 STATE OF INCORPORATION: D8 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55364 FILM NUMBER: 161484039 BUSINESS ADDRESS: STREET 1: TRIDENT CHAMBERS PO BOX 146 STREET 2: ROAD TOWN TORTOLA CITY: BRITISH VIRGIN ISLANDS STATE: D8 ZIP: VG 1110 BUSINESS PHONE: 86 755 8241 6868 MAIL ADDRESS: STREET 1: 8/F BLDG A TONGFANG INFORMATION HARBOR STREET 2: NO 11 LANGSHAN ROAD NANSHAN DISTRICT CITY: SHENZHEN STATE: F4 ZIP: 518057 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: A&B (HK) Co Ltd CENTRAL INDEX KEY: 0001667401 STATE OF INCORPORATION: K3 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55364 FILM NUMBER: 161484040 BUSINESS ADDRESS: STREET 1: UNIT A 11TH FLOOR CHUNG PONT COMMERCIAL STREET 2: BUILDING 300 HENNESSY ROAD WANCHAI CITY: HONG KONG STATE: K3 ZIP: 00000 BUSINESS PHONE: 86 755 8241 6868 MAIL ADDRESS: STREET 1: 8/F BLDG A TONGFANG INFORMATION HARBOR STREET 2: NO 11 LANGSHAN ROAD NANSHAN DISTRICT CITY: SHENZHEN STATE: F4 ZIP: 518057 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2015-12-29 0 0001610853 HELIUS MEDICAL TECHNOLOGIES, INC. HSDT 0001667401 A&B (HK) Co Ltd UNIT A, 11TH FLOOR, CHUNG PONT COMMERCIAL BUILDING, 300 HENNESSY ROAD WANCHAI K3 HONG KONG 0 0 1 0 0001667405 A&B Brother Ltd TRIDENT CHAMBERS, P.O. BOX 146 ROAD TOWN TORTOLA VI VG1110 VIRGIN ISLANDS, U.S. 0 0 1 0 0001668079 Lam Kong 8/F BLDG A, TONGFANG INFORMATION HARBOR NO. 11 LANGSHAN ROAD NANSHAN DISTRICT, SHENZHEN F4 CHINA 0 0 1 0 Class A Common Stock 7638889 D Warrant 1.44 2015-11-10 2018-11-12 Class A Common Stock 1041667 D Warrant 1.35 2016-01-07 2019-01-07 Class A Common Stock 2777778 D A&B (HK) COMPANY LIMITED, By: /s/ Lam Kong, Name: Dr. Lam Kong, Title: Director 2016-03-04 A&B BROTHER LIMITED, By: /s/ Lam Kong, Name: Dr. Lam Kong, Title: Director 2016-03-04 /s/ Lam Kong, Dr. Lam Kong 2016-03-04