0000721748-13-000114.txt : 20130513 0000721748-13-000114.hdr.sgml : 20130513 20130513152550 ACCESSION NUMBER: 0000721748-13-000114 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120101 FILED AS OF DATE: 20130513 DATE AS OF CHANGE: 20130513 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mar-Chaim Gai CENTRAL INDEX KEY: 0001328245 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51216 FILM NUMBER: 13837062 MAIL ADDRESS: STREET 1: 10 HAZAYIT ST. CITY: ASSERET STATE: L3 ZIP: 76858 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ANDAIN, INC. CENTRAL INDEX KEY: 0001321502 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 202066406 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 350 S. CENTER STREET STREET 2: SUITE 500 CITY: RENO STATE: NV ZIP: 89501 BUSINESS PHONE: 775-333-5997 MAIL ADDRESS: STREET 1: 350 S. CENTER STREET STREET 2: SUITE 500 CITY: RENO STATE: NV ZIP: 89501 4 1 f4_gaimarchaim.xml OWNERSHIP DOCUMENT X0306 4 2012-01-01 0 0001321502 ANDAIN, INC. ANDNE 0001328245 Mar-Chaim Gai 10 HAZAYIT ST. ASSERET L3 76858 ISRAEL 1 1 1 0 President Common Stock 2012-01-01 4 D 0 2720000 0.001 D 4511878 D Common Stock 2012-09-20 4 P 0 18000000 0.001 A 22511878 D Mr. Mar-Chaim returned to the Company?s treasury effective on January 1, 2012 2,720,000 shares of common stock from the because of a reclassification of the value of the 4,000,000 shares of common stock issued by the Company under a Regulation S Stock Purchase Agreement between Mr. Mar-Chaim and the Company, dated January 5, 2011 On July 29, 2012, the Company entered into a Regulation S Stock Purchase Agreement with Gai Mar-Chaim, the Company?s secretary/treasurer and a director. Under this agreement, Mr. Mar-Chaim purchased from the Company 18,000,000 restricted shares of common stock at $0.001 per share, for a total consideration of $18,000. These shares were actually issued on September 20, 2012 In computing the number of shares beneficially owned by this stockholder, shares of common stock subject to options or convertible or exchangeable into such shares of common stock held by that person that are currently exercisable, or exercisable within 60 days, are included. Therefore, 660,000 of the total consists of shares of common stock underlying the vested and exercisable (as of January 1, 2013) portion of a stock option for 990,000 shares of common stock granted by the Company in exchange for services rendered to the Company. 50,000 shares of common stock are owned indirectly by Mr. Mar-Chaim in accordance with Rule 13d-3 under the1934 Act (they are held by members of Mr. Mar-Chaim?s household). Gar Mar-Chaim 2013-05-10