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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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
(Rule 13d-102)
Under the Securities Exchange Act of 1934
NLS Pharmaceutics Ltd.
(Name of Issuer)
Common Shares
(Title of Class of Securities)
H57830103
(CUSIP Number)
December 31, 2021
(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(b) | |
| ☐ | Rule 13d-1(c) | |
| ☒ | Rule 13d-1(d) |
| * | 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).
| CUSIP No. H57830103 | 13G | Page 2 of 8 Pages |
| 1. |
Names of Reporting Persons
Ronald Hafner |
| 2. |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (See Instructions) (a) ☐ (b) ☐ |
| 3. |
SEC Use Only
|
| 4. |
Citizenship or Place of Organization
Switzerland |
|
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5. |
Sole Voting Power
410,000(1) |
| 6. |
Shared Voting Power
2,845,000 | |
| 7. |
Sole Dispositive Power
410,000(1) | |
| 8. |
Shared Dispositive Power
2,845,000(2) |
| 9. |
Aggregate Amount Beneficially Owned by Each Reporting Person
3,255,000 |
| 10. |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) ☐ |
| 11. |
Percent of Class Represented by Amount in Row (9)
20%(3) |
| 12. |
Type of Reporting Person (See Instructions)
IN |
| (1) | Consists of 410,000 of the issuer’s common shares owned by Ronald Hafner. |
| (2) | Consists of 2,845,000 of the issuer’s common shares owned by Magnetic Rock Investment AG. |
| (3) | Based on 16,223,389 outstanding shares of the issuer’s common shares. |
| CUSIP No. H57830103 | 13G | Page 3 of 8 Pages |
| 1. |
Names of Reporting Persons
Magnetic Rock Investment AG |
| 2. |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (See Instructions) (a) ☐ (b) ☐ |
| 3. |
SEC Use Only
|
| 4. |
Citizenship or Place of Organization
Switzerland |
|
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5. |
Sole Voting Power
0 |
| 6. |
Shared Voting Power
2,845,000(1) | |
| 7. |
Sole Dispositive Power
0 | |
| 8. |
Shared Dispositive Power
2,845,000(1) |
| 9. |
Aggregate Amount Beneficially Owned by Each Reporting Person
2,845,000(1) |
| 10. |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) ☐ |
| 11. |
Percent of Class Represented by Amount in Row (9)
17.5%(2) |
| 12. |
Type of Reporting Person (See Instructions)
CO |
| (1) | Consists of 2,845,000 of the issuer’s common shares owned by Magnetic Rock Investment AG. |
| (2) | Based on 16,223,389 outstanding shares of the issuer’s common shares. |
| CUSIP No. H57830103 | 13G | Page 4 of 8 Pages |
| Item 1(a). | Name of Issuer: |
| NLS Pharmaceutics Ltd. | |
| Item 1(b). | Address of Issuer’s Principal Executive Offices: |
|
The Circle 6 8058 Zurich, Switzerland | |
| Item 2(a). | Name of Person Filing: |
| This Statement is filed on behalf of Ronald Hafner and Magnetic Rock Investment AG. | |
| Item 2(b). | Address of Principal Offices or, if None, Residence: |
| The address of the Reporting Persons is: | |
|
c/o NLS Pharmaceutics Ltd. The Circle 6 8058 Zurich, Switzerland | |
| Item 2(c). | Citizenship: |
|
Ronald Hafner is a citizen of Switzerland. Magnetic Rock Investment AG is incorporated in Switzerland. | |
| Item 2(d). | Title of Class of Securities: |
| Common Shares | |
| Item 2(e). | CUSIP Number: |
| H57830103 | |
| Item 3. | If the Statement is being filed pursuant to Rule 13d-1(b) or 13d-2(b) or (c), check whether the filing person is a: |
| Not applicable. |
| (a) | ☐ | Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o); |
| (b) | ☐ | Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c); |
| (c) | ☐ | Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c); |
| (d) | ☐ | Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); |
| (e) | ☐ | An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E); |
| (f) | ☐ | An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F); |
| (g) | ☐ | A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G); |
| (h) | ☐ | A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); |
| (i) | ☐ | A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act (15 U.S.C. 80a-3); |
| (j) | ☐ | A non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J); |
| (k) | ☐ | Group, in accordance with §240.13d-1(b)(1)(ii)(K). |
If filing as a non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J), please specify the type of institution:_________________________
| CUSIP No. H57830103 | 13G | Page 5 of 8 Pages |
| Item 4. | Ownership. |
| (a) | Amount beneficially owned: |
| 3,255,000 common shares | |
| (b) | Percent of class: |
| 20% (1) | |
| (c) | Number of shares as to which such persons have: |
| (i) |
Sole power to vote or direct the vote:
Ronald Hafner has sole power to vote or to direct the vote of 410,000 Common Shares. |
| (ii) | Shared power to vote or direct the vote: 3,255,000 (2) |
| (iii) |
Sole power to dispose or to direct the disposition of:
Ronald Hafner has sole power to dispose or to direct the disposition of 410,000 Common Shares. |
| (iv) | Shared power to dispose or to direct the disposition of: 3,255,000 (2) |
| Item 5. | Ownership of Five Percent or Less of a Class. |
| If this statement is being filed to report the fact that as of the date hereof the reporting person had ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following ☐. | |
| 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 or Control Person. |
| Not applicable. | |
| Item 8. | Identification and Classification of Members of the Group. |
| Not applicable. | |
| Item 9. | Notice of Dissolution of Group. |
| Not applicable. | |
| Item 10. | Certification. |
| Not applicable. |
| (1) | Based on 16,223,389 outstanding shares of issuer’s common shares. |
| (2) | Consists of 410,000 of the issuer’s common shares owned by Ronald Hafner and 2,845,000 of the issuer’s common shares owned by Magnetic Rock Investment AG. |
| CUSIP No. H57830103 | 13G | Page 6 of 8 Pages |
SIGNATURES
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.
February 18, 2022 (Date) | ||
| Magnetic Rock Investment AG | ||
| By: | /s/ Ronald Hafner | |
| Name: | Ronald Hafner | |
| Title: | Chairman | |
| /s/ Ronald Hafner | ||
| (Signature) | ||
Attention. Intentional misstatements or omissions of fact constitute Federal criminal violations (see 18 U.S.C. 1001).
| CUSIP No. H57830103 | 13G | Page 7 of 8 Pages |
EXHIBIT INDEX
| A. | Joint Filing Agreement, dated as of February 18, 2022, by and between Ronald Hafner and Magnetic Rock Investment AG |
| CUSIP No. H57830103 | 13G | Page 8 of 8 Pages |
The undersigned hereby agree that the Schedule 13G with respect to the Common Shares, par value of CHF 0.02 per share, of NLS Pharmaceutics Ltd., dated as of February 18, 2022, is, and any amendments thereto (including amendments on Schedule 13D) signed by each of the undersigned shall be, filed on behalf of each of us pursuant to and in accordance with the provisions of Rule 13d-1(k) under the Securities Exchange Act of 1934, as amended.
February 18, 2022 (Date) | ||
| Magnetic Rock Investment AG | ||
| By: | /s/ Ronald Hafner | |
| Name: | Ronald Hafner | |
| Title: | Chairman | |
| /s/ Ronald Hafner | ||
| (Signature) | ||