Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT NO. __)
GLUCOTRACK, INC.
(Name of Issuer)
COMMON STOCK
(Title of Class of Securities)
45824Q507
(CUSIP Number)
September 5, 2024
(DATE OF EVENT WHICH REQUIRES FILING OF THIS STATEMENT)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed: ☒ Rule 13d-1(c)
* | The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. |
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 (“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).
(Continued on following page(s)
Page 1 of 5 Pages
CUSIP No. 45824Q507 | 13G | Page 2 of 5 Pages |
1. | NAMES OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Drew Sycoff |
2. | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: (a) ☐ (b) ☐ |
3. | SEC USE ONLY |
4. | CITIZENSHIP OR PLACE OF ORGANIZATION - USA |
5. | SOLE VOTING POWER, NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON – 321,264 Shares (1) (2) (3) |
6. | SHARED VOTING POWER - None |
7. | SOLE DISPOSITIVE POWER – 321,264 Shares (1) (2) (3) |
8. | SHARED DISPOSITIVE POWER – None |
9. | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON – 321,264 Shares (1) (2) (3) |
10. | CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ☒ The aggregate amount in Row 9 represents the maximum amount of shares that Drew Sycoff can beneficially control under a contractually stipulated 4.99% ownership restriction. The full exercise of Drew Sycoff’s securities would exceed this restriction. |
11. | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.864% (1) (2) (3) |
12. | TYPE OF REPORTING PERSON IN |
(1) | Based on 5,478,436 shares outstanding as of August 19, 2024 as reported in the Definitive Schedule 14A filed by the Issuer on August 19, 2024. |
(2) | Does not include 23,299 shares of common stock owned directly by Andrew Garrett, Inc. of which the Reporting Person is the Chief Executive Officer. The Reporting Person disclaims beneficial ownership of the securities owned by Andrew Garrett, Inc. except to the extent of his pecuniary interests therein. |
(3) | Does not include 515,187 shares of common stock owned directly by Alma Diversified Holdings LLC, an entity owned by the wife of the Reporting Person. Mr. Sycott disclaims beneficial ownership of the securities owned by Alma Diversified Holdings LLC except to the extent of his pecuniary interests therein. |
CUSIP No. 45824Q507 | 13G | Page 3 of 5 Pages |
ITEM 1 (a) NAME OF ISSUER: GlucoTrack, Inc.
ITEM 1 (b) ADDRESS OF ISSUER’S PRINCIPAL EXECUTIVE OFFICES:
301 Rt 17 North, Suite 800, Rutherford, NJ 07070
ITEM 2 (a) NAME OF PERSON FILING: Drew Sycoff
ITEM 2 (b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE:
1294 Albany Post Rd., Gardiner, NY 12525
ITEM 2 (c) CITIZENSHIP: USA
ITEM 2 (d) TITLE OF CLASS OF SECURITIES: Common Shares, $0.001 par value per share, and Common Stock Purchase Warrants
ITEM 2 (e) CUSIP NUMBER: 45824Q507
ITEM 3 IF THIS STATEMENT IS FILED PURSUANT TO RULE 13D-1(B) OR 13D-2(B): Not applicable
ITEM 4 OWNERSHIP
(a) AMOUNT BENEFICIALLY OWNED: 321,264 Shares (1) (2) (3)
(b) PERCENT OF CLASS: 5.864% (1) (2) (3)
(c) NUMBER OF SHARES AS TO WHICH SUCH PERSON HAS:
(i) SOLE POWER TO VOTE OR DIRECT THE VOTE
321,264 Shares (1) (2) (3)
(ii) SHARED POWER TO VOTE OR DIRECT THE VOTE
0 Shares
(iii) SOLE POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF
321,264 Shares (1) (2) (3)
(iv) SHARED POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF
0 Shares
CUSIP No. 45824Q507 | 13G | Page 4 of 5 Pages |
ITEM 5 OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS
Not applicable
ITEM 6 OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON
Not applicable
ITEM 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY
Not applicable
ITEM 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF A GROUP
Not applicable
ITEM 9 NOTICE OF DISSOLUTION OF GROUP
Not applicable
CUSIP No. 45824Q507 | 13G | Page 5 of 5 Pages |
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.
September 10, 2024 | |
(Date) | |
/s/ Drew Sycoff | |
(Signature) | |
Drew Sycoff | |
(Name/Title) |