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*
Gatland Miles Geoffrey

(Last) (First) (Middle)
31601 RESEARCH PARK DRIVE

(Street)
MADISON HEIGHTS, MI 48701

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/16/2022
3. Issuer Name and Ticker or Trading Symbol
Nano Magic Holdings Inc. [ NMGX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
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 368,400 I Through LLC investment
Common stock 153,916 D
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
Warrants (1) (2) Common stock 79,334 $1.5 I Through LLC
Warrants (1) (3) Common stock 137,809 $1.5 I Through LLC
Warrants (1) 05/31/2024 Common stock 70,000 $1.5 D
Warrants (1) (4) Common stock 259,355 $2 I Through LLC
Explanation of Responses:
1. Presently exercisable
2. Warrants held by LLC will expire on five different dates, the earliest on 10/15/2022 and the last on 6/27/2023
3. Warrants held by LLC will expire on six different dates, the earliest on 9/6/2023 and the last on 3/26/2024
4. Warrants held by LLCs will expire on five different dates, the earliest on 7/13/2024 and the last on 3/17/2025
/s/ Miles Gatland 02/17/2022
** 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).
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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