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*
Zhang Yiwen

(Last) (First) (Middle)
LEVEL 27, RIALTO TOWER
525 COLLINS STREET

(Street)
MELBOURNE C3 3000

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Sincerity Applied Materials Holdings Corp. [ SINC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO, President
3. Date of Earliest Transaction (Month/Day/Year)
12/05/2017
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 12/05/2017 I(1) 4,248,635 D $0 40,962,412 I By Zhang Family Trust(2)
Common Stock 12/05/2017 S 500,000 D $0.002 40,462,412 I By Zhang Family Trust(2)
Common Stock 02/02/2018 I(1) 1,000,000 D $0 39,462,412 I By Zhang Family Trust(2)
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
1. Name and Address of Reporting Person*
Zhang Yiwen

(Last) (First) (Middle)
LEVEL 27, RIALTO TOWER
525 COLLINS STREET

(Street)
MELBOURNE C3 3000

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Zhang Family Trust

(Last) (First) (Middle)
LEVEL 27, RIALTO TOWER
525 COLLINS STREET

(Street)
MELBOURNE C3 3000

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Yin Ting

(Last) (First) (Middle)
LEVEL 27, RIALTO TOWER
525 COLLINS STREET

(Street)
MELBOURNE C3 3000

(City) (State) (Zip)
Explanation of Responses:
1. Reflects shares transferred to unrelated parties in consideration for legal, financial advisory, and other professional services.
2. Zhang Family Trust (the "Trust") owns the reporting securities directly. Each of Zhang Yiwen and his wife, Ting Yin (the sole director/secretary of MFHP Pty Ltd, the trustee of the Trust), is a beneficiary of the Trust and shares equal voting and investment power over the reporting securities held by the Trust..
/s/ Zhang Yiwen 04/13/2018
/s/ Ting Yin 04/13/2018
/s/ Ting Yin 04/13/2018
** 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).
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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