SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Schreiber Justin

(Last) (First) (Middle)
53 CALLE PALMERAS, 8TH FLOOR

(Street)
SAN JUAN PR 00901

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/16/2017
3. Issuer Name and Ticker or Trading Symbol
Immudyne, Inc. [ IMMD ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
President, Immudyne PR
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, par value $0.01 1,805,272 I By JOJ Holdings, Inc(1)
Common Stock, par value $0.01 1,375,000 I By JLS Ventures LLC
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant 11/01/2016 11/01/2018 Common Stock, par value $0.01 217,391 $0.4 I By JOJ Holdings LLC
Warrant 01/01/2017 01/01/2019 Common Stock, par value $0.01 591,745 $0.4 I By JOJ Holdings LLC
Explanation of Responses:
1. Immudyne, Inc. retains a right to rescind 1,000,000 shares of Common Stock issued to JLS Ventures LLC in the event Immudyne Puerto Rico does not distribute at least $500,000 to Immudyne, Inc. by December 31, 2017.
/s/ Justin Schreiber 10/27/2017
** 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 5 (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).
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