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*
Grover Vikram P

(Last) (First) (Middle)
625 STANWIX ST. #2504

(Street)
PITTSBURGH, PA 15222

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FOMO WORLDWIDE, INC. [ FOMC ]
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, Director
3. Date of Earliest Transaction (Month/Day/Year)
03/06/2019
4. 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 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 05/02/2023 P 33,333,333 A $0.0003 33,333,333 D
Common 05/03/2023 P 33,333,333 A $0.0003 66,666,666 D
Common 05/04/2023 P 25,000,000 A $0.0002 91,666,666 D
Common 05/05/2023 P 25,000,000 A $0.0002 116,666,666 D
Common 05/11/2023 P 25,000,000 A $0.0002 141,666,666 D
Common 05/19/2023 P 25,000,000 A $0.0002 166,666,666 D
Common 05/23/2023 P 10,000,000 A $0.0002 176,666,666 D
Common 05/24/2023 P 10,000,000 A $0.0002 186,666,666 D
Common 05/25/2023 P 10,000,000 A $0.0002 196,666,666 D
Common 05/26/2023 P 10,000,000 A $0.0002 206,666,666 D
Common 05/30/2023 P 6,666,667 A $0.0003 213,333,333 D
Common 05/31/2023 P 3,333,333 A $0.0003 216,666,666 D
Common 06/01/2023 P 3,333,334 A $0.0003 220,000,000 D
Common 06/02/2023 P 3,333,333 A $0.0003 223,333,333 D
Common 06/06/2023 P 5,000,000 A $0.0002 228,333,333 D
Common 06/09/2023 P 5,000,000 A $0.0002 233,333,333 D
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 A Preferred shares (1) 03/06/2019 A 2,000,000 (4) (4) Common 100,000,000 $0.045 2,000,000 D
Series A Preferred shares (1) 04/26/2023 P 3,333,333 (4) (4) Common 166,667 $0.03 5,333,333 D
Series B Preferred shares (2) 03/06/2019 P 400,000 (4) (4) Common 400,000,000 $0.9 400,000 D
Series B Preferred shares (2) 05/05/2019 P 125,000 (4) (4) Common 125,000,000 $1.4 525,000 D
Series B Preferred shares (2) 08/26/2019 P 93,750 (4) (4) Common 93,750,000 $0.3 618,750 D
Series B Preferred shares (2) 10/09/2020 P 1,370,065 (4) (4) Common 1,370,065,000 $0.2 1,988,815 D
Series B Preferred shares (2) 09/03/2020 P 60,000 (4) (4) Common 60,000,000 $0.7 2,048,815 D
Series B Preferred shares (2) 05/01/2023 P 166,667 (4) (4) Common 166,666,667 $0.06 2,215,482 D
Series C Preferred shares (3) 03/06/2019 A 1,000,000 (4) (4) Common 1,000,000 $0.0009 1,000,000 D
Stock Options $0.0005 12/31/2020 A 200,000,000 03/01/2023 02/28/2026 Common 200,000,000 $0.00 200,000,000 D
Explanation of Responses:
1. Each Series A Preferred share converts into 50 common shares.
2. Each Series B Preferred share converts into 1,000 common shares.
3. Each Series C Preferred share converts into 1 common share.
4. There is no exercise or expiration dates on Series A, Series B, or Series C Preferred shares.
/s/ Vikram P Grover 06/09/2023
** 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.
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.