Grigorios Siokas - Nov 28, 2022 Form 4/A - Amendment Insider Report for Cosmos Holdings Inc. (COSM)

Role
Chief Executive Officer, Director, 10%+ Owner
Signature
/s/ Grigorios Siokas
Stock symbol
COSM
Transactions as of
Nov 28, 2022
Transactions value $
$497,674
Form type
4/A - Amendment
Date filed
11/29/2022, 12:33 PM
Date Of Original Report
Nov 28, 2022
Previous filing
Oct 24, 2022
Next filing
Dec 1, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction COSM Common Stock, $.001 par value Purchase $498K +801K +4.14% $0.62 20.1M Nov 28, 2022 Direct F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction COSM Series A Preferred Stock Conversion of derivative security -$310 -498 -33.2% $0.62 1K Nov 28, 2022 Common Stock 1.61M $0.62 Direct F2, F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Mr. Siokas acquired these shares upon conversion of 498 shares of Series A Convertible Preferred Stock ("Series A Shares"), $1,000.00 stated value per share, convertible at $0.62152 per share.
F2 Mr. Siokas converted the Series A Shares, as set forth in Note (1), above pursuant to a Conversion Notice dated November 28, 2022.
F3 N/A
F4 Each Series A Share with a stated value of $1,000.00 per share is convertible at $0.62152 per share.