Annual Statement of Changes in Beneficial Ownership (5)
11 Février 2016 - 10:28PM
Edgar (US Regulatory)
FORM 5
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X
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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).
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Form 3 Holdings Reported
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X
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Form 4 Transactions Reported
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0362
Estimated average burden
hours per response...
1.0
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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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1. Name and Address of Reporting Person
*
Schissler Matthew Lawrence
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2. Issuer Name
and
Ticker or Trading Symbol
APT Motovox Group, Inc. [MTVX]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
_____ Officer (give title below)
__
X
__ Other (specify below)
Former 10% owner
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(Last)
(First)
(Middle)
7380 S. EASTERN AVE., #124376
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3. Statement for Issuer's Fiscal Year Ended
(MM/DD/YYYY)
12/31/2015
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(Street)
LAS VEGAS, NV 89123
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form Filed by One Reporting Person
___ Form Filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
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7. Nature of Indirect Beneficial Ownership
(Instr. 4)
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Amount
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(A) or (D)
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Price
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Common Stock
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7/29/2014
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A4
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125000000
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A
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$0
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142032932
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I
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See footnote 1
(1)
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Common Stock
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10/22/2014
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A4
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125000000
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A
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$0
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267032932
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I
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See footnote 1
(1)
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Common Stock
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1/22/2015
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D4
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37905789
(2)
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D
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$0.0001
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229127143
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I
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See footnote 1
(1)
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Common Stock
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2/2/2015
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D4
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118833365
(3)
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D
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$0.0001
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110293778
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I
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See footnote 1
(1)
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Common Stock
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4/6/2015
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D4
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42000000
(4)
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D
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$0.0001
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68293778
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I
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See footnote 1
(1)
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Common Stock
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5/20/2015
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D4
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59077342
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D
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$0.0001
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9216436
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D
(5)
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year
(Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
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11. Nature of Indirect Beneficial Ownership
(Instr. 4)
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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Matthew Schissler is the record holder of 9,216,436 shares of common stock. The remaining shares are held of record by Red Bowl Living Trust, LLC. Matthew Schissler is the managing member of Red Bowl Living Trust, LLC and may be deemed to have voting and investment power over the shares beneficially owned by Red Bowl Living Trust, LLC.
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(
2)
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This number represents the aggregate number of shares sold from 1/2/2015 through 1/31/2015.
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(
3)
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This number represents the aggregate number of shares sold from 2/2/2015 through 2/28/2015.
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(
4)
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This number represents the aggregate number of shares sold from 4/1/2015 through 4/30/2015.
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(
5)
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Neither Matthew Schissler nor Red Bowl Living Trust, LLC is, nor was during the period covered by this report, a beneficial owner of ten percent (10%) of the outstanding common stock of APT Motovox Group, Inc. As of the date of this report, neither Matthew Schissler nor Red Bowl Living Trust, LLC is subject to the reporting requirements under Section 16 of the Securities Exchange Act of 1934, as amended.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Schissler Matthew Lawrence
7380 S. EASTERN AVE., #124376
LAS VEGAS, NV 89123
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Former 10% owner
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Signatures
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/s/ Matthew L. Schissler
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2/11/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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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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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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