Washington, D.C. 20549
Check the appropriate box to designate the rule pursuant
to which this Schedule is filed:
*The remainder of this cover page shall be
filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent
amendment containing information, which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this
cover page shall not be deemed to be “filed” for the purposes of Section 18 of the Securities and Exchange Act of
1934 (“Act”) or otherwise subject to the liabilities of that section of the Act out shall be subject to all other provisions
of the Act, (however, see the Notes).
|
1. |
Names of Reporting Persons. |
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|
I.R.S. Identification Nos. of above persons (entities only) |
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YA II PN, Ltd. |
(98-0615462) |
|
2. |
Check the Appropriate Box if a Member of a Group (See Instructions) |
|
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(a) x |
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(b) ¨ |
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3. |
SEC Use Only |
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4. |
Citizenship or Place of Organization: Cayman Islands |
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|
Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With |
5. |
Sole Voting Power: |
0 |
|
|
|
|
|
|
6 |
Shared Voting Power: |
425,502*
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|
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|
7. |
Sole Dispositive Power: |
0 |
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|
|
|
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8. |
Shared Dispositive Power: |
425,502*
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9. |
Aggregate Amount Beneficially Owned by Each Reporting Person: 425,502* |
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10. |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See
Instructions) ¨ |
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11. |
Percentage of Class Represented by Amount in Row (9): 9.99%** |
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12. |
Type of Reporting Person (See Instructions): CO |
* 425,502 shares consisting of the direct ownership of 363,498 shares
of Common Shares plus the deemed ownership of 62,004 shares of Common Shares that the reporting person has the right to acquire within
60 days of the date of the report.
** Calculation based on 4,259,281 outstanding shares of the issuer’s
Common Shares, consisting of 4,197,277 shares of Common Shares outstanding as of the date of this report and an additional 62,004
shares of Common Shares that the reporting person has the right to acquire within 60 days of the date of the report.
|
1. |
Names of Reporting Persons. |
|
|
I.R.S. Identification Nos. of above persons (entities only) |
|
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|
YA Global Investments II (U.S.), LP |
(42-1766918) |
|
2. |
Check the Appropriate Box if a Member of a Group (See Instructions) |
|
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(a) x |
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(b) ¨ |
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3. |
SEC Use Only |
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4. |
Citizenship or Place of Organization: Delaware |
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Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With |
5. |
Sole Voting Power: |
0 |
|
|
|
|
|
|
6 |
Shared Voting Power: |
425,502*
|
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7. |
Sole Dispositive Power: |
0 |
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8. |
Shared Dispositive Power: |
425,502*
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9. |
Aggregate Amount Beneficially Owned by Each Reporting Person: 425,502* |
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10. |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See
Instructions) ¨ |
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11. |
Percentage of Class Represented by Amount in Row (9): 9.99%** |
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|
12. |
Type of Reporting Person (See Instructions): PN |
* 425,502 shares consisting of the direct ownership of 363,498 shares
of Common Shares plus the deemed ownership of 62,004 shares of Common Shares that the reporting person has the right to acquire within
60 days of the date of the report.
** Calculation based on 4,259,281 outstanding shares of the issuer’s
Common Shares, consisting of 4,197,277 shares of Common Shares outstanding as of the date of this report and an additional 62,004
shares of Common Shares that the reporting person has the right to acquire within 60 days of the date of the report
|
1. |
Names of Reporting Persons. |
|
|
I.R.S. Identification Nos. of above persons (entities only) |
|
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YA II GP, LP |
(80-0827189) |
|
2. |
Check the Appropriate Box if a Member of a Group (See Instructions) |
|
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(a) x |
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(b) ¨ |
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3. |
SEC Use Only |
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4. |
Citizenship or Place of Organization: Delaware |
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Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With |
5. |
Sole Voting Power: |
0 |
|
|
|
|
|
|
6 |
Shared Voting Power: |
425,502*
|
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|
7. |
Sole Dispositive Power: |
0 |
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|
|
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|
8. |
Shared Dispositive Power: |
425,502*
|
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9. |
Aggregate Amount Beneficially Owned by Each Reporting Person: 425,502* |
|
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10. |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See
Instructions) ¨ |
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11. |
Percentage of Class Represented by Amount in Row (9): 9.99%** |
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|
12. |
Type of Reporting Person (See Instructions): PN |
* 425,502 shares consisting of the direct ownership of 363,498 shares
of Common Shares plus the deemed ownership of 62,004 shares of Common Shares that the reporting person has the right to acquire within
60 days of the date of the report.
** Calculation based on 4,259,281 outstanding shares of the issuer’s
Common Shares, consisting of 4,197,277 shares of Common Shares outstanding as of the date of this report and an additional 62,004
shares of Common Shares that the reporting person has the right to acquire within 60 days of the date of the report
|
1. |
Names of Reporting Persons. |
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|
I.R.S. Identification Nos. of above persons (entities only) |
|
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YAII GP II, LLC |
(81-4908890)
|
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2. |
Check the Appropriate Box if a Member of a Group (See Instructions) |
|
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(a) x |
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(b) ¨ |
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3. |
SEC Use Only |
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4. |
Citizenship or Place of Organization: Delaware |
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Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With |
5. |
Sole Voting Power: |
0 |
|
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|
|
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|
6 |
Shared Voting Power: |
425,502*
|
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7. |
Sole Dispositive Power: |
0 |
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8. |
Shared Dispositive Power: |
425,502*
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9. |
Aggregate Amount Beneficially Owned by Each Reporting Person: 425,502* |
|
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10. |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See
Instructions) ¨ |
|
|
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|
11. |
Percentage of Class Represented by Amount in Row (9): 9.99%** |
|
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|
12. |
Type of Reporting Person (See Instructions): OO |
* 425,502 shares consisting of the direct ownership of 363,498 shares
of Common Shares plus the deemed ownership of 62,004 shares of Common Shares that the reporting person has the right to acquire within
60 days of the date of the report.
** Calculation based on 4,259,281 outstanding shares of the issuer’s
Common Shares, consisting of 4,197,277 shares of Common Shares outstanding as of the date of this report and an additional 62,004
shares of Common Shares that the reporting person has the right to acquire within 60 days of the date of the report
|
1. |
Names of Reporting Persons. |
|
|
I.R.S. Identification Nos. of above persons (entities only) |
|
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|
Yorkville Advisors Global, LP |
(90-0860458) |
|
2. |
Check the Appropriate Box if a Member of a Group (See Instructions) |
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(a) x |
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(b) ¨ |
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3. |
SEC Use Only |
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4. |
Citizenship or Place of Organization: Delaware |
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|
Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With |
5. |
Sole Voting Power: |
0 |
|
|
|
|
|
|
6 |
Shared Voting Power: |
425,502*
|
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|
7. |
Sole Dispositive Power: |
0 |
|
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|
|
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|
8. |
Shared Dispositive Power: |
425,502*
|
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|
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|
9. |
Aggregate Amount Beneficially Owned by Each Reporting Person: 425,502* |
|
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10. |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See
Instructions) ¨ |
|
|
|
|
11. |
Percentage of Class Represented by Amount in Row (9): 9.99%** |
|
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|
12. |
Type of Reporting Person (See Instructions): IA |
* 425,502 shares consisting of the direct ownership of 363,498 shares
of Common Shares plus the deemed ownership of 62,004 shares of Common Shares that the reporting person has the right to acquire within
60 days of the date of the report.
** Calculation based on 4,259,281 outstanding shares of the issuer’s
Common Shares, consisting of 4,197,277 shares of Common Shares outstanding as of the date of this report and an additional 62,004
shares of Common Shares that the reporting person has the right to acquire within 60 days of the date of the report
|
1. |
Names of Reporting Persons. |
|
|
I.R.S. Identification Nos. of above persons (entities only) |
|
|
|
Yorkville Advisors Global II, LLC |
(81-4918579) |
|
2. |
Check the Appropriate Box if a Member of a Group (See Instructions) |
|
|
(a) x |
|
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(b) ¨ |
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3. |
SEC Use Only |
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4. |
Citizenship or Place of Organization: Delaware |
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|
Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With |
5. |
Sole Voting Power: |
0 |
|
|
|
|
|
|
6 |
Shared Voting Power: |
425,502*
|
|
|
|
|
|
|
7. |
Sole Dispositive Power: |
0 |
|
|
|
|
|
|
8. |
Shared Dispositive Power: |
425,502*
|
|
|
|
|
9. |
Aggregate Amount Beneficially Owned by Each Reporting Person: 425,502* |
|
|
|
|
10. |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See
Instructions) ¨ |
|
|
|
|
11. |
Percentage of Class Represented by Amount in Row (9): 9.99%** |
|
|
|
|
12. |
Type of Reporting Person (See Instructions): OO |
* 425,502 shares consisting of the direct ownership of 363,498 shares
of Common Shares plus the deemed ownership of 62,004 shares of Common Shares that the reporting person has the right to acquire within
60 days of the date of the report.
** Calculation based on 4,259,281 outstanding shares of the issuer’s
Common Shares, consisting of 4,197,277 shares of Common Shares outstanding as of the date of this report and an additional 62,004
shares of Common Shares that the reporting person has the right to acquire within 60 days of the date of the report
|
1. |
Names of Reporting Persons. |
|
|
I.R.S. Identification Nos. of above persons (entities only) |
|
|
|
Mark Angelo |
|
|
2. |
Check the Appropriate Box if a Member of a Group (See Instructions) |
|
|
(a) x |
|
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(b) ¨ |
|
|
|
|
3. |
SEC Use Only |
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|
|
4. |
Citizenship or Place of Organization: U.S.A. |
|
|
|
Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With |
5. |
Sole Voting Power: |
0 |
|
|
|
|
|
|
6 |
Shared Voting Power: |
425,502*
|
|
|
|
|
|
|
7. |
Sole Dispositive Power: |
0 |
|
|
|
|
|
|
8. |
Shared Dispositive Power: |
425,502*
|
|
|
|
|
9. |
Aggregate Amount Beneficially Owned by Each Reporting Person: 425,502* |
|
|
|
|
10. |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See
Instructions) ¨ |
|
|
|
|
11. |
Percentage of Class Represented by Amount in Row (9): 9.99%** |
|
|
|
|
12. |
Type of Reporting Person (See Instructions): IN |
* 425,502 shares consisting of the direct ownership of 363,498 shares
of Common Shares plus the deemed ownership of 62,004 shares of Common Shares that the reporting person has the right to acquire within
60 days of the date of the report.
** Calculation based on 4,259,281 outstanding shares of the issuer’s
Common Shares, consisting of 4,197,277 shares of Common Shares outstanding as of the date of this report and an additional 62,004
shares of Common Shares that the reporting person has the right to acquire within 60 days of the date of the report
|
1. |
Names of Reporting Persons. |
|
|
I.R.S. Identification Nos. of above persons (entities only) |
|
|
|
SC-Sigma Global Partners, LP |
84-5173620 |
|
2. |
Check the Appropriate Box if a Member of a Group (See Instructions) |
|
|
(a) x |
|
|
(b) ¨ |
|
|
|
|
3. |
SEC Use Only |
|
|
|
|
4. |
Citizenship or Place of Organization: Delaware |
|
|
|
Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With |
5. |
Sole Voting Power: |
0 |
|
|
|
|
|
|
6 |
Shared Voting Power: |
425,502*
|
|
|
|
|
|
|
7. |
Sole Dispositive Power: |
0 |
|
|
|
|
|
|
8. |
Shared Dispositive Power: |
425,502*
|
|
|
|
|
9. |
Aggregate Amount Beneficially Owned by Each Reporting Person: 425,502* |
|
|
|
|
10. |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See
Instructions) ¨ |
|
|
|
|
11. |
Percentage of Class Represented by Amount in Row (9): 9.99%** |
|
|
|
|
12. |
Type of Reporting Person (See Instructions): OO |
* 425,502 shares consisting of the direct ownership of 363,498 shares
of Common Shares plus the deemed ownership of 62,004 shares of Common Shares that the reporting person has the right to acquire within
60 days of the date of the report.
** Calculation based on 4,259,281 outstanding shares of the issuer’s
Common Shares, consisting of 4,197,277 shares of Common Shares outstanding as of the date of this report and an additional 62,004
shares of Common Shares that the reporting person has the right to acquire within 60 days of the date of the report
Item 1.
|
(a) |
Name of Issuer: |
|
|
Samsara Luggage, Inc |
|
|
|
|
(b) |
Address of Issuer’s Principal Executive Offices |
One University Plaza, Suite 505,
Hackensack, NJ 07601
| Item 2. | Identity and Background. |
| (a) | Name of Person Filing: |
| | YA II PN, Ltd. |
| | |
| (b) | Address of Principal Executive Office or, if none, Residence of Reporting Persons: |
1012 Springfield Ave.
Mountainside, NJ 07092
| (c) | Citizenship: |
| | Cayman Islands |
| | |
| (d) | Title of Class of Securities: |
| | Common Shares, with a par value $0.001 per share |
| | |
| (e) | CUSIP
Number: |
74736N105
| Item 3. | If the statement is filed pursuant to §§ 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing
is: |
|
(a) | ¨ |
Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o); |
|
(b) | ¨ |
Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c); |
|
(c) | ¨ |
Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c); |
|
(d) | ¨ |
Investment company registered under section 8 of the Investment Company Act of 1940 (15 of the Act (15 U.S.C. 78o); |
|
(e) | ¨ |
An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E); |
|
(f) | ¨ |
An employee benefit plan or endowment fund in accordance with §240.13d- 1(b)(1)(ii)(F); |
|
(g) | ¨ |
A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G); |
|
(h) | ¨ |
A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); |
|
(i) | ¨ |
A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment
Company Act of 1940 (15 U.S.C. 80a-3); |
|
(j) | ¨ |
A non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J); or |
|
(k) | x |
Group, in accordance with 240.13d(b)(1)(ii)(K). |
Provide the following information regarding the
aggregate number and percentage of the class of securities of the issuer identified in Item 1.
| (a) | Amount beneficially owned: 425,502* |
| (b) | Percentage of Class: 9.99%** |
| (c) | Number of shares as to which the person has: |
| (i) | Sole Power to vote or to direct the vote: 0 |
| (ii) | Shared power to vote or to direct the vote: Less than 425,502* |
| (iii) | Sole power to dispose or to direct the disposition: 0 |
| (iv) | Shared power to dispose or to direct the disposition: 425,502* |
* 425,502 shares consisting of the direct ownership of 363,498 shares
of Common Shares plus the deemed ownership of 62,004 shares of Common Shares that the reporting person has the right to acquire within
60 days of the date of the report.
** Calculation based on 4,259,281 outstanding shares of the issuer’s
Common Shares, consisting of 4,197,277 shares of Common Shares outstanding as of the date of this report and an additional 62,004
shares of Common Shares that the reporting person has the right to acquire within 60 days of the date of the report
| Item 5. | Ownership of Five Percent or Less of a Class: |
If this statement is being
filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent
of the class of securities, check the following ¨.
| Item 6. | Ownership of more than five percent on Behalf of Another Person. |
The
reporting persons directly or indirectly own an aggregate of 425,502* or 9.99%, of the Common Shares of the Company as of the date
of this filing. YA II and the other reporting persons shared the power to vote and dispose any such shares of Common Shares.
Direct
beneficial ownership of such Common Shares by the reporting persons is as follows (and therefore excludes any shares of Common
Shares indirectly held by such person or any securities, such as warrants, which may be exercised or converted into Common Shares of the
Company):
| · | YA II PN, Ltd. – 363,498 |
| · | YA Global Investments II (U.S.), LP -- 0 |
| · | Yorkville Advisors Global, LP – 0 |
| · | Yorkville Advisors Global II, LLC – 0 |
| · | SC-Sigma Global Partners, LP – 33,456 |
In addition to the direct
beneficial ownership set forth above, each reporting person is also deemed to be the indirect beneficial owner of additional Common Stock
that may be acquired by each such reporting person within 60 days of the date of this filing.
Such Common Stock may be acquired
by the reporting persons upon the conversion or exercise of the following:
| · | two Convertible Debentures with an aggregate outstanding principal balance of $576,000 as of the date
of this filing, plus accrued and unpaid interest thereon, which may be convertible into Common Stock subject to an ownership cap that
limits the amount of Common Stock that may be issued upon conversion of such Convertible Debentures to a total of 4.99% of the issuer’s
outstanding Common Stock; and |
| · | two Convertible Debentures (collectively, along with the Convertible Debentures listed above, the “CDs”)
with an aggregate outstanding principal balance of $650,000 as of the date of this filing, plus accrued and unpaid interest thereon, which
may be convertible into Common Stock subject to an ownership cap that limits the amount of Common Stock that may be issued upon conversion
of such Convertible Debentures to a total of 9.99% of the issuer’s outstanding Common Stock; and |
| · | warrants (the “Warrants”) for the purchase of an aggregate of 26,553 shares of the
Common Stock, subject to adjustment for certain events such as stock splits, stock dividends and the like. |
The
conversion of the CDs is subject to an ownership cap that limits the amount of Common Stock that may be issued upon conversion of the
CDs to a total of 4.99% of the issuer’s outstanding Common Stock with respect to $576,000 of principal amount, plus accrued and
unpaid interest thereon, of the CDs and 9.99% with respect to $650,000 of principal amount, plus accrued and unpaid interest thereon,
of the CDs. The exercise of the Warrants is subject to an ownership cap that limits the amount of Common Stock that may be issued upon
exercise of the Warrants to a total of 4.99% of the issuer’s outstanding Common Stock. Accordingly, the direct and indirect beneficial
ownership of the Company’s Common Stock by all reporting persons is limited to an aggregate of 425,502* shares, which is
equal to 9.99% of the Company’s outstanding Common Stock of 4,197,277 shares (the most recent outstanding Common Stock as reported
by the Company), plus 62,004 shares of Common Stock that the reporting person has the right to acquire within 60 days of the date of the
report. In calculating the number of shares of Common Stock that may be subject to the ownership cap, the number of shares of Common Stock
beneficially owned by the holder of the CDs and Warrants and all of their affiliates are taken into consideration. Solely for purposes
of this filing, all of the reporting persons are deemed to be affiliated parties and, therefore, any shares of Common Stock beneficially
owned by one reporting person are deemed to be held by all other reporting persons.
Below is a description of
the relationship among the reporting persons:
YA II PN, Ltd. (“YA
II”) is beneficially owned by YA Global Investments II (U.S.), LP (the “YA Feeder”). Yorkville Advisors Global,
LP (the “YA Advisor”) is the investment manager to YA II. Yorkville Advisors Global II, LLC (the “YA Advisor
GP”) is the general partner to the YA Advisor. YA II GP, LP (the “YA GP”) is the general partner to the YA
Feeder. YAII GP II, LLC (the “Yorkville GP”) is the general partner to the YA GP. Mark Angelo makes the investment
decisions on behalf of YA II. Accordingly, each of YA II, YA Feeder, the YA Advisor, the YA Advisor GP, the YA GP, the Yorkville GP and
Mark Angelo may be deemed affiliates and therefore may be deemed to beneficially own the same number of Class A Common Shares.
SC-Sigma Global Partners,
LP (“SC-Sigma”) is beneficially owned by YA II GP, LP. YAII GP II, LLC is the general partner of YA II GP, LP. The
YA Advisor is the investment manager to SC-Sigma. Accordingly, SC-Sigma, the YA GP , the Yorkville GP, the YA Advisor, and Mark Angelo
may be deemed affiliates and therefore may be deemed to beneficially own the same number of shares of Common Stock.
For purposes of this filing,
each of the reporting persons is deemed an affiliate of each other reporting person.
| Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company
or Control Person. |
Not Applicable
| Item 8. | Identification and Classification of Member Group |
See Item 6.
| Item 9. | Notice of Dissolution of Group |
Not Applicable
By signing below, I certify
that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or
with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection
with or as participant in any transaction having that purpose or effect.
Additional
Information:
Each Reporting Person disclaims
beneficial ownership of any securities beneficially owned by each other Reporting Person, and its report shall not be deemed to be an
admission that any Reporting Person is the beneficial owner of these securities for the purpose of Section 16 or for any other purpose.
After reasonable inquiry and
to the best of my knowledge and belief, I certify that the information set forth in this statement in true, complete and correct.
Dated: January 3, 2023
REPORTING PERSON: |
|
|
|
|
|
|
YA II PN, Ltd. |
|
|
|
|
|
|
By: |
/s/ Robert Munro |
|
|
|
Robert Munro |
|
|
|
Chief Compliance Officer |
|
|
|
|
|
|
YA Global Investments II (U.S.), Ltd. |
|
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|
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By: |
/s/ Robert Munro |
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Robert Munro |
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Chief Compliance Officer |
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Yorkville Advisors Global, LP |
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By: Yorkville Advisors Global, LLC |
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Its: General Partner |
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By: |
/s/ Robert Munro |
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Robert Munro |
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Chief Compliance Officer |
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Yorkville Advisors Global II, LLC |
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By: |
/s/ Robert Munro |
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Robert Munro |
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Chief Compliance Officer |
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YA II GP, LP |
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By: YAII GP II, LLC |
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Its: General Partner |
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By: |
/s/ Robert Munro |
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Robert Munro |
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Chief Compliance Officer |
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YAII GP II, LLC |
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By: |
/s/ Robert Munro |
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Robert Munro |
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Chief Compliance Officer |
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