|
1.
|
NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Nick Bozza
|
|
2.
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)
x
(b)
o
|
| 3. | SEC USE ONLY |
|
4.
|
SOURCE OF FUNDS
OO
|
| 5. |
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) or 2(e)
o
|
|
6.
|
CITIZENSHIP OR PLACE OF ORGANIZATION
Canada
|
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: | |
| 7. | SOLE VOTING POWER: 0 common shares |
| 8. | SHARED VOTING POWER: 9,812,500 common shares (1) |
| 9. | SOLE DISPOSITIVE POWER: 0 common shares |
| 10. | SHARED DISPOSITIVE POWER: 9,812,500 common shares (1) |
|
11.
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9,812,500 common shares
|
| 12. | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES o |
|
13.
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) *
7.22%
* The percentages used herein are calculated based upon
135,895,856
outstanding shares of the Company as of
May 26, 2016
|
|
14.
|
TYPE OF REPORTING PERSON
IN
|
|
1.
|
NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Louise Bozza
|
|
2.
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)
x
(b)
o
|
| 3. | SEC USE ONLY |
|
4.
|
SOURCE OF FUNDS
OO
|
| 5. |
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) or 2(e)
o
|
|
6.
|
CITIZENSHIP OR PLACE OF ORGANIZATION
Canada
|
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: | |
| 7. | SOLE VOTING POWER: 0 common shares |
| 8. | SHARED VOTING POWER: 9,812,500 common shares (1) |
| 9. | SOLE DISPOSITIVE POWER: 0 common shares |
| 10. | SHARED DISPOSITIVE POWER: 9,812,500 common shares (1) |
|
11.
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9,812,500 common shares
|
| 12. | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES o |
|
13.
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) *
7.22%
* The percentages used herein are calculated based upon
135,895,856
outstanding shares of the Company as of
May 26, 2016
|
|
14.
|
TYPE OF REPORTING PERSON
IN
|
|
1.
|
NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Lily Gascoigne
|
|
2.
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)
x
(b)
o
|
| 3. | SEC USE ONLY |
|
4.
|
SOURCE OF FUNDS
OO
|
| 5. |
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) or 2(e)
o
|
|
6.
|
CITIZENSHIP OR PLACE OF ORGANIZATION
Canada
|
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: | |
| 7. | SOLE VOTING POWER: 0 common shares |
| 8. | SHARED VOTING POWER: 9,812,500 common shares (1) |
| 9. | SOLE DISPOSITIVE POWER: 0 common shares |
| 10. | SHARED DISPOSITIVE POWER: 9,812,500 common shares (1) |
|
11.
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9,812,500 common shares
|
| 12. | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES o |
|
13.
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) *
7.22%
* The percentages used herein are calculated based upon
135,895,856
outstanding shares of the Company as of
May 26, 2016
|
|
14.
|
TYPE OF REPORTING PERSON
IN
|
|
1.
|
NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
THE NICK BOZZA FAMILY TRUST
|
|
2.
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) x
(b)
o
|
| 3. | SEC USE ONLY |
|
4.
|
SOURCE OF FUNDS
OO
|
| 5. |
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) or 2(e)
o
|
|
6.
|
CITIZENSHIP OR PLACE OF ORGANIZATION
Canada
|
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: | |
| 7. | SOLE VOTING POWER: 0 common shares |
| 8. | SHARED VOTING POWER: 9,812,500 common shares (1) |
| 9. | SOLE DISPOSITIVE POWER: 0 common shares |
| 10. | SHARED DISPOSITIVE POWER: 9,812,500 common shares (1) |
|
11.
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9,812,500 common shares
|
| 12. | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES o |
|
13.
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) *
7.22%
* The percentages used herein are calculated based upon
135,895,856
outstanding shares of the Company as of
May 26, 2016
|
|
14.
|
TYPE OF REPORTING PERSON
IN
|
|
Name
|
Present Principal Occupation
|
||
|
Nick Bozza
|
Business Manager/President Canadian Arrhythmia Institute Inc.
|
||
|
Louise Bozza
|
Administrator
|
||
|
Lily Gascoigne
|
Administrator
|
||
|
|
/s/ Nick Bozza | |
| Nick Bozza | ||
| /s/ Louise Bozza | ||
| Louise Bozza | ||
| /s/ Lily Gasoigne | ||
| Lily Gasoigne | ||
| THE NICK BOZZA FAMILY TRUST | ||
| By: /s/ Nick Bozza, Trustee | ||
| Nick Bozza, Trustee |