Grigorios Siokas - Dec 2, 2022 Form 4 Insider Report for Cosmos Holdings Inc. (COSM)

Role
Chief Executive Officer, Director, 10%+ Owner
Signature
/s/ Grigorios Siokas
Stock symbol
COSM
Transactions as of
Dec 2, 2022
Transactions value $
$702,540
Form type
4
Date filed
12/2/2022, 05:03 AM
Previous filing
Dec 1, 2022
Next filing
Jan 27, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction COSM Common Stock, $.001 par value Conversion of derivative security $703K +1.13M +5.49% $0.62 21.7M Dec 2, 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 -$437 -703 -100% $0.62 0 Dec 2, 2022 Common Stock 0 $0.62 Direct F2, F3
* 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 703 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 December 2, 2022
F3 N/A