0001213900-24-007416.txt : 20240129
0001213900-24-007416.hdr.sgml : 20240129
20240129163117
ACCESSION NUMBER: 0001213900-24-007416
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240125
FILED AS OF DATE: 20240129
DATE AS OF CHANGE: 20240129
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chang Raymond Nobu
CENTRAL INDEX KEY: 0001831402
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39946
FILM NUMBER: 24574124
MAIL ADDRESS:
STREET 1: C/O AGRIFY CORPORATION
STREET 2: 101 MIDDLESEX TURNPIKE, SUITE 6, PMB 326
CITY: BURLINGTON
STATE: MA
ZIP: 01803
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Agrify Corp
CENTRAL INDEX KEY: 0001800637
STANDARD INDUSTRIAL CLASSIFICATION: AGRICULTURE SERVICES [0700]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 300943453
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2468 INDUSTRIAL ROW DRIVE
CITY: TROY
STATE: MI
ZIP: 48084
BUSINESS PHONE: 855-420-0020
MAIL ADDRESS:
STREET 1: 2468 INDUSTRIAL ROW DRIVE
CITY: TROY
STATE: MI
ZIP: 48084
4
1
ownership.xml
X0508
4
2024-01-25
0
0001800637
Agrify Corp
AGFY
0001831402
Chang Raymond Nobu
C/O AGRIFY CORPORATION
2468 INDUSTRIAL DRIVE
TROY
MI
48084
1
1
1
0
CEO and Chairman
0
Common Stock
2024-01-25
4
C
0
1335817
A
1453894
I
By RTC3 2020 Irrevocable Family Trust
Common Stock
648
I
By NXT3J Capital, LLC
Common Stock
575
D
Convertible Note
1.46
2024-01-25
4
C
0
2671633
0
D
2025-12-31
Common Stock
2671633
10273973
I
By CP Acquisitions, LLC
On January 25, 2024, CP Acquisitions, LLC ("CP Acquisitions") converted $3,900,583.71 of the principal amount and accrued but unpaid interest of that certain Senior Secured Amended, Restated and Consolidated Convertible Note due 2025 (the "Note"), issued by Agrify Corporation (the "Issuer") and entered into by and between CP Acquisitions and the Issuer as of January 25, 2024, into 2,671,633 shares of common stock of the Issuer. Immediately subsequent to such conversion, 1,335,817 of the shares of common stock entitled to CP Acquisitions were assigned to RTC3 2020 Irrevocable Family Trust.
Held by RTC3 2020 Irrevocable Family Trust, of which the reporting person retains the authority to remove the independent trustee. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that such person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
Immediately upon its execution, the outstanding principal amount of the Note was $18,900,583.71, and after the consummation of the conversion transaction described in Item #1 above the outstanding principal of the Note is $15,000,000.00. The Note is convertible as of the transaction date, subject to a 49.99% beneficial ownership limitation, into shares of common stock of the Issuer at a current conversion price of $1.46 per share, as may be adjusted per the Note from time to time; provided that CP Acquisitions may assign its right to receive shares of common stock upon conversion to the reporting person and/or Ms. I-Tseng Jenny Chan, a member of the Board of Directors of the Issuer, in which case the 49.99% beneficial ownership limitation will apply to each of them individually.
CP Acquisitions is an entity controlled by the reporting person, and the reported securities may be deemed to be indirectly beneficially owned by the reporting person. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that such person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
NXT3J Capital, LLC is an entity controlled by the reporting person, and the reported securities may be deemed to be indirectly beneficially owned by the reporting person. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that such person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
/s/ Raymond Nobu Chang
2024-01-29