0001213900-24-014212.txt : 20240214 0001213900-24-014212.hdr.sgml : 20240214 20240214180444 ACCESSION NUMBER: 0001213900-24-014212 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240212 FILED AS OF DATE: 20240214 DATE AS OF CHANGE: 20240214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gottschalk Jane CENTRAL INDEX KEY: 0002009182 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41930 FILM NUMBER: 24641066 MAIL ADDRESS: STREET 1: 307 CANALOT STUDIOS STREET 2: 222 KENSAL ROAD CITY: LONDON STATE: X0 ZIP: W10 5BN ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Perfect Moment Ltd. CENTRAL INDEX KEY: 0001849221 STANDARD INDUSTRIAL CLASSIFICATION: APPAREL & OTHER FINISHED PRODS OF FABRICS & SIMILAR MATERIAL [2300] ORGANIZATION NAME: 04 Manufacturing IRS NUMBER: 861437114 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 307 CANALOT STUDIOS STREET 2: 222 KENSAL ROAD CITY: LONDON STATE: X0 ZIP: W10 5BN BUSINESS PHONE: 4402045588849 MAIL ADDRESS: STREET 1: 307 CANALOT STUDIOS STREET 2: 222 KENSAL ROAD CITY: LONDON STATE: X0 ZIP: W10 5BN 4 1 ownership.xml X0508 4 2024-02-12 0 0001849221 Perfect Moment Ltd. PMNT 0002009182 Gottschalk Jane 307 CANALOT STUDIOS, 222 KENSAL ROAD LONDON X0 W10 5BN UNITED KINGDOM 1 1 1 0 Chief Creative Officer 0 Common Stock 2024-02-12 4 C 0 2624341 A 3650957 I By Spouse indirectly through Fermain Limited Common Stock 2024-02-12 4 C 0 19646 A 3670603 I By Spouse indirectly through Joachim Gottschalk & Associates Ltd. Common Stock 2024-02-12 4 C 0 51513 A 3722116 I By Spouse indirectly through Joachim Gottschalk & Associates Ltd. Common Stock 2024-02-12 4 P 0 16600 6.00 A 3738716 D Common Stock 2024-02-12 4 P 0 16600 6.00 A 3755316 I By Spouse Series A Convertible Preferred Stock 2024-02-12 4 C 0 2624341 0 D Common Stock 2624341 0 I By Spouse indirectly through Fermain Limited Series A Convertible Preferred Stock 2024-02-12 4 C 0 19646 0 D Common Stock 19646 0 I By Spouse indirectly through Joachim Gottschalk & Associates Ltd. 8% Senior Subordinated Secured Convertible Promissory Note 4.80 2024-02-12 4 C 0 247264.16 0 D Common Stock 51513 0 I By Spouse indirectly through Joachim Gottschalk & Associates Ltd. The Series A Convertible Preferred Stock automatically converted into Perfect Moment Ltd. common stock (the "Common Stock") on a 1-for-1 basis upon the closing of Perfect Moment Ltd.'s initial public offering ("IPO") on February 12, 2024. The 8% Senior Subordinated Secured Convertible Promissory Note (the "Note") automatically converted into Common Stock upon the closing of the IPO into a number of shares of Common Stock equal to the quotient obtained by dividing (i) the principal amount, plus accrued and unpaid interest, owing under such Note through February 12, 2024 ($247,264.16) by (ii) $4.80 (80% of the IPO price per share of Common Stock). Represents shares of Common Stock purchased in the IPO. /s/ Jane Gottschalk 2024-02-14