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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Urbanski Raymond W.

(Last) (First) (Middle)
C/O STONY HILL CORP., 9701 WILSHIRE BLVD
SUITE 1000

(Street)
BEVERLY HILLS CA 90212

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/28/2019
3. Issuer Name and Ticker or Trading Symbol
Applied BioSciences Corp. [ APPB ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
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 25,000 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
Stock Option (right to buy)(1) (2) (3) Common Stock 1,000,000 $1.23 D
Stock Option (right to buy)(1) (4) (5) Common Stock (6) $1.23 D
Explanation of Responses:
1. Exempt transaction under SEC Rule 16b-3.
2. One-third of the option vests on each of the following dates: (i) May 31, 2019, (ii) April 1, 2020, and (iii) April 1, 2021.
3. Shares vest subject to continued employment with Applied BioSciences Corp. (the "Company"), or an affiliate thereof.
4. One-third (1/3) of the option vests upon the occurrence of each of the following events: (i) the Company has raised a combined $3,000,000, (ii) opening of the first IND with the FDA, or equivalent ex-US, and (iii) the Company being listed on a national securities exchange.
5. Shares vest subject to continued employment with the Company, or an affiliate thereof.
6. That number of shares of common stock equal to 3% of the Company's fully diluted common stock.
Remarks:
/s/ Raymond Urbanski 06/04/2019
** 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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.