FORM 4
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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).
☐ Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 |
OMB APPROVAL
OMB Number: 3235-0287 Estimated average burden hours per response... 0.5 |
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1. Name and Address of Reporting Person * Grover Vikram P | 2. Issuer Name and Ticker or Trading Symbol FOMO WORLDWIDE, INC. [ FOMC ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner __X__ Officer (give title below) _____ Other (specify below) CEO, Director |
3. Date of Earliest Transaction
(MM/DD/YYYY)
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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 | |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
1.Title of Security (Instr. 3) | 2. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. Code (Instr. 8) |
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common | 5/2/2023 | P | 33,333,333 | A | $0.0003 | 33,333,333 | D | |||
Common | 5/3/2023 | P | 33,333,333 | A | $0.0003 | 66,666,666 | D | |||
Common | 5/4/2023 | P | 25,000,000 | A | $0.0002 | 91,666,666 | D | |||
Common | 5/5/2023 | P | 25,000,000 | A | $0.0002 | 116,666,666 | D | |||
Common | 5/11/2023 | P | 25,000,000 | A | $0.0002 | 141,666,666 | D | |||
Common | 5/19/2023 | P | 25,000,000 | A | $0.0002 | 166,666,666 | D | |||
Common | 5/23/2023 | P | 10,000,000 | A | $0.0002 | 176,666,666 | D | |||
Common | 5/24/2023 | P | 10,000,000 | A | $0.0002 | 186,666,666 | D | |||
Common | 5/25/2023 | P | 10,000,000 | A | $0.0002 | 196,666,666 | D | |||
Common | 5/26/2023 | P | 10,000,000 | A | $0.0002 | 206,666,666 | D | |||
Common | 5/30/2023 | P | 6,666,667 | A | $0.0003 | 213,333,333 | D | |||
Common | 5/31/2023 | P | 3,333,333 | A | $0.0003 | 216,666,666 | D | |||
Common | 6/1/2023 | P | 3,333,334 | A | $0.0003 | 220,000,000 | D | |||
Common | 6/2/2023 | P | 3,333,333 | A | $0.0003 | 223,333,333 | D | |||
Common | 6/6/2023 | P | 5,000,000 | A | $0.0002 | 228,333,333 | D | |||
Common | 6/9/2023 | P | 5,000,000 | A | $0.0002 | 233,333,333 | D | |||
Common | 6/13/2023 | P | 5,000,000 | A | $0.0002 | 238,333,333 | D | |||
Common | 6/14/2023 | P | 3,333,333 | A | $0.0003 | 241,666,666 | D | |||
Common | 6/15/2023 | P | 3,333,334 | A | $0.0003 | 245,000,000 | D | |||
Common | 6/22/2023 | P | 5,000,000 | A | $0.0002 | 250,000,000 | D | |||
Common | 6/29/2023 | P | 2,500,000 | A | $0.0002 | 252,500,000 | D | |||
Common | 6/30/2023 | P | 1,666,667 | A | $0.0003 | 254,166,667 | D | |||
Common* | 6/30/2023 | P | 50,000,000 | A | $0.0002 | 304,166,667 | D | |||
Common | 7/19/2023 | P | 5,000,000 | A | $0.0002 | 309,166,667 | D | |||
Common | 7/20/2023 | P | 5,000,000 | A | $0.0002 | 314,166,667 | D | |||
Common | 7/20/2023 | P | 3,333,333 | A | $0.0003 | 317,500,000 | D | |||
Common | 7/21/2023 | P | 5,000,000 | A | $0.0002 | 322,500,000 | D | |||
Common | 7/24/2023 | P | 2,500,000 | A | $0.0002 | 325,000,000 | D | |||
Common | 7/26/2023 | P | 5,000,000 | A | $0.0002 | 330,000,000 | D | |||
Common | 7/27/2023 | P | 5,000,000 | A | $0.0002 | 335,000,000 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Preferred shares | (1) | 3/6/2019 | A | 2,000,000 | (4) | (4) | Common | 100,000,000 | $0.045 | 2,000,000 | D | ||||
Series A Preferred shares | (1) | 4/26/2023 | P | 3,333,333 | (4) | (4) | Common | 166,666,667 | $0.003 | 5,333,333 | D | ||||
Series B Preferred shares | (2) | 3/6/2019 | P | 400,000 | (4) | (4) | Common | 400,000,000 | $0.9 | 400,000 | D | ||||
Series B Preferred shares | (2) | 5/5/2019 | P | 125,000 | (4) | (4) | Common | 125,000,000 | $1.4 | 525,000 | D | ||||
Series B Preferred shares | (2) | 8/26/2019 | P | 93,750 | (4) | (4) | Common | 93,750,000 | $0.3 | 618,750 | D | ||||
Series B Preferred shares | (2) | 10/9/2020 | P | 1,370,065 | (4) | (4) | Common | 1,370,065,000 | $0.2 | 1,988,815 | D | ||||
Series B Preferred shares | (2) | 9/3/2020 | P | 60,000 | (4) | (4) | Common | 60,000,000 | $0.7 | 2,048,815 | D | ||||
Series B Preferred shares | (2) | 4/19/2023 | P | 166,667 | (4) | (4) | Common | 166,666,667 | $0.06 | 2,215,482 | D | ||||
Series B Preferred shares | (2) | 5/1/2023 | P | 166,667 | (4) | (4) | Common | 166,666,667 | $0.06 | 2,382,149 | D | ||||
Series C Preferred shares | (3) | 3/6/2019 | A | 1,000,000 | (4) | (4) | Common | 1,000,000 | $0.0009 | 1,000,000 | D | ||||
Stock Options | $0.0005 | 12/31/2020 | A | 200,000,000 | 3/1/2023 | 2/28/2026 | Common | 200,000,000 | $0 | 200,000,000 | D |
Remarks: *On June 30, 2023, Vikram Grover converted $10,000 in loans made to the Company into common shares. |
Reporting Owners | |||||
Reporting Owner Name / Address | |||||
Director | 10% Owner | Officer | Other | ||
Grover Vikram P 625 STANWIX ST. #2504 PITTSBURGH,, PA 15222 | X | X | CEO, Director |
Signatures | ||
/s/ Vikram P Grover | 2/20/2024 | |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | 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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