0001161697-17-000104.txt : 20170214 0001161697-17-000104.hdr.sgml : 20170214 20170214145918 ACCESSION NUMBER: 0001161697-17-000104 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 3 FILED AS OF DATE: 20170214 DATE AS OF CHANGE: 20170214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AngioSoma, Inc. CENTRAL INDEX KEY: 0001502152 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 273480481 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: SC 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-89519 FILM NUMBER: 17607518 BUSINESS ADDRESS: STREET 1: 14001 WALDEN RD., SUITE 600 CITY: MONTGOMERY STATE: TX ZIP: 77356 BUSINESS PHONE: 832-781-8521 MAIL ADDRESS: STREET 1: 14001 WALDEN RD., SUITE 600 CITY: MONTGOMERY STATE: TX ZIP: 77356 FORMER COMPANY: FORMER CONFORMED NAME: First Titan Corp. DATE OF NAME CHANGE: 20100927 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SUMMERS DAVID P PHD CENTRAL INDEX KEY: 0000937471 FILING VALUES: FORM TYPE: SC 13D MAIL ADDRESS: STREET 1: 14001 WALDEN RD. STREET 2: SUITE 600 CITY: MONTGOMERY STATE: TX ZIP: 77356 SC 13D 1 sc13d.htm SCHEDULE 13D

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


SCHEDULE 13D

Rule 13d-101


Under the Securities Exchange Act of 1934



AngioSoma, Inc.

(Name of Issuer)



Series E Preferred Stock, par value $.001 per share

(Title of Class of Securities)



None

(CUSIP Number)



Alex K. Blankenship

14001 Walden Road, Suite 600

Montgomery, Texas 77356

832-781-8521

(Name, Address and Telephone Number of Person

Authorized to Receive Notices and Communications)



January 25, 2017

(Date of Event which Requires Filing of this Statement)


If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of §§ 240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box [_].


Note . Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See § 240.13d-7 for other parties to whom copies are to be sent.


The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (the “Act”) or otherwise subject to the liabilities of that section of the Act, but shall be subject to all other provisions of the Act (however, see the Notes.)




CUSIP No.    N/A


1.

NAMES OF REPORTING PERSONS

I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)


David P. Summers

2.

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*


(a) [X]

(b) [_]

3.

SEC USE ONLY

 

4.

SOURCE OF FUNDS


N/A

5.

CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2 (e)


[_]

6.

CITIZENSHIP OR PLACE OF ORGANIZATION


United States of America

NUMBER

OF

SHARES

BENEFICIALLY

OWNED

BY

EACH

REPORTING

PERSON

WITH

7. SOLE VOTING POWER


1,000,000

8. SHARED VOTING POWER


None

9. SOLE DISPOSITIVE POWER


None

10. SHARED DISPOSITIVE POWER


None

11.

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON


None

12.

CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES


[_]

13.

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)


100%

14.

TYPE OF REPORTING PERSON


IN


- 2 -



Item 1. Security and Issuer.


This statement relates to the series E preferred stock, par value $0.001 per share (the “Preferred Stock”), of AngioSoma, Inc., a Nevada corporation (the “Issuer”), whose principal executive office is located at 14001 Walden Road, Suite 600, Montgomery, Texas 77356.


Item 2. Identity and Background.


(a)

David P. Summers, a natural person (“Mr. Summers”).

 

 

(b)

14001 Walden Road, Suite 600, Montgomery, Texas 77356

 

 

(c)

Mr. Summers’s principal occupation is consultant to the Issuer.

 

 

(d)

During the last five years, Mr. Summers has not been convicted in a criminal proceeding (excluding traffic or other misdemeanors).

 

 

(e)

Mr. Summers has not, during the last five years, been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction which resulted in or was subject to (i) a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws; or (ii) a finding of any violation with respect to such laws.

 

 

(f)

Mr. Summers is a citizen of the United States.


Item 3. Source and Amount of Funds or Other Consideration.


Not applicable.


Item 4. Purpose of Transaction.


Transfer of right to exercise voting control of the Issuer.


Item 5. Interest in Securities of Issuer.


(a)

As of the date of this report, Mr. Summers beneficially owns no shares of the Issuer’s Preferred Stock.

 

 

(b)

Mr. Summers has the sole power to vote or to direct the vote and no power to dispose or direct the disposition of the Issuer’s Preferred Stock.

 

 

(c)

Voting right to 1,000,000 shares of Preferred Stock acquired the 25th day of January, 2017.

 

 

(d)

Mr. Summers confirms that he is entitled to exclusive voting rights of the Preferred Stock and is the person with the exclusive right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, any of the shares of Preferred Stock beneficially owned by Alex K. Blankenship, President and Chief Executive Officer of the Issuer.

 

 

(e)

Not applicable.


- 3 -



Item 6. Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer.


Pursuant to the terms of that certain Voting Agreement dated January 25, 2017, by and between Alex K. Blankenship, and Mr. Summers, attached hereto as Exhibit 99.1, Ms. Blankenship delivered to Mr. Summers the exclusive, irrevocable right to vote all shares of Preferred Stock beneficially owned by Ms. Blankenship.


Item 7. Materials to be Filed as Exhibits.


99.1 Voting Agreement dated January 25, 2017, by and between Alex K. Blankenship and David P. Summers.



EXHIBITS


Exhibit No.

 

Description

 

 

 

99.1

 

Voting Agreement dated January 25, 2017, by and between Alex K. Blankenship and David P. Summers.



SIGNATURE


After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.



/s/ David P. Summers

Name: David P. Summers

Date: February 10, 2017


- 4 -


EX-99 2 ex_99-1.htm VOTING AGREEMENT DATED 01-25-2017

Exhibit 99.1




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