SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
FARRIOR J REX III

(Last) (First) (Middle)
1306 W KENNEDY BOULEVARD

(Street)
TAMPA FL 33606

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
H-CYTE, INC. [ HCYT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
07/23/2020
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction 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 STOCK 07/23/2020 C 15,518,111 A $0.4082 15,518,111 I (SEE FOOTNOTE}(1)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: 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 D PREFERRED STOCK $0.4082 07/23/2020 C 15,518,111 11/15/2019 (2)(3) COMMON STOCK 15,518,111 $0 0 I (SEE FOOTNOTE}(1)
SERIES A PREFERRED STOCK (4) 09/24/2020 J(4) 7,488,063 09/24/2020 (2) COMMON STOCK 7,488,063 $0.014 7,488,063 I (SEE FOOTNOTE}(1)
STOCK PURCHASE WARRANTS $0.014 09/24/2020 J(5) 7,488,063 09/24/2020 (7) COMMON STOCK 7,488,063 (5) 7,488,063 I (SEE FOOTNOTE}(1)
SERIES A PREFERRED STOCK (6) 09/24/2020 J(6) 7,142,857 09/24/2020 (2) COMMON STOCK 7,142,857 $0.014 14,630,920 I (SEE FOOTNOTE}(1)
1. Name and Address of Reporting Person*
FARRIOR J REX III

(Last) (First) (Middle)
1306 W KENNEDY BOULEVARD

(Street)
TAMPA FL 33606

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
FWHC HOLDINGS, LLC

(Last) (First) (Middle)
1306 W KENNEDY BOULEVARD

(Street)
TAMPA FL 33606

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
HOA CAPITAL LLC

(Last) (First) (Middle)
1306 W KENNEDY BOULEVARD

(Street)
TAMPA FL 33606

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
FWHC BRIDGE FRIENDS, LLC

(Last) (First) (Middle)
1306 W KENNEDY BOULEVARD

(Street)
TAMPA FL 33606

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Common stock held directly by FWHC Holdings, LLC (FHWC), Series A preferred stock and warrants held directly by FWHC Bridge Friends, LLC (Bridge Friends). All held indirectly by HOA Capital LLC (HOA), the sole manager of FWHC and Bridge Friends, and J. Rex Farrior, III, the sole manager of HOA. Each of the reporting persons disclaims beneficial ownership of the securities except to the extent of its or his pecuniary interest therein.
2. Redeemable at option of requisite number of holders in specified circumstances.
3. Represents 14,699,757 original shares and 818,354 shares representing accumulated dividends at conversion.
4. Received upon conversion of variable conversion price notes at closing of Qualified Financing. Conversion price became fixed at such closing. Series A stock is convertible into common stock on a 1:1 basis.
5. Received in connection with variable conversion price notes. No additional consideration was paid for warrants. Exercise price became fixed at closing of Qualified Financing.
6. Purchased as part of backstop commitment in Qualified Financing. Series A stock is convertible into common stock on a 1:1 basis.
7. NOT APPLICABLE
/s/ J. Rex Farrior, III 03/15/2021
/s/ J. Rex Farrior, III, o/b/o FWHC Holdings, LLC 03/15/2021
/s/ J. Rex Farrior, III, o/b/o HOA Capital LLC 03/15/2021
/s/ J. Rex Farrior, III, o/b/o FWHC Bridge Friends, LLC 03/15/2021
** 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).
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