Sec Form 5 Filing - Remillard Jason L M @ Data443 Risk Mitigation, Inc. - 2021-12-31

Insider filing report for Changes in Beneficial Ownership
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FORM 5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Remillard Jason L M
2. Issuer Name and Ticker or Trading Symbol
Data443 Risk Mitigation, Inc. [ ATDS]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
President; CEO; Secretary
(Last) (First) (Middle)
101 J. MORRIS COMMONS LANE
3. Date of Earliest Transaction (MM/DD/YY)
12/31/2021
(Street)
MORRISVILLE, NC27560
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Series A Preferred Stock 11/15/2017 J( 1 ) 1,334( 3 ) A $ 0 1,334( 3 ) D
Series A Preferred Stock 03/30/2020 A 4,666 A $ 0 6,000 D
Series A Preferred Stock 08/14/2020 J( 2 ) 144,000 A $ 0 150,000 D
Common Stock 04/19/2020 A 379( 4 ) A $ 0 379( 4 ) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Remillard Jason L M
101 J. MORRIS COMMONS LANE
MORRISVILLE, NC27560
X President; CEO; Secretary
Signatures
/s/ Jason Remillard 04/13/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )In November 2017, Mr. Remillard acquired controlling interest and 100% of the outstanding preferred shares of the Company, which was then named LandStar, Inc. In connection therewith, Mr. Remillard acquired 1,334 issued and outstanding shares of the Company's Series A Preferred Stock.
( 2 )In January 2018, the Company acquired substantially all of the assets of Myriad Software Productions, LLC, a company owned 100% by Mr. Remillard. The consideration for the acquisition included 144,000 shares of the Company's Series A Preferred Stock (after adjustment for subsequent reverse stock splits), which were issued to Mr. Remillard as part of a Share Settlement Agreement on August 14, 2020.
( 3 )Amount gives effect to the 750-for-1 reverse stock split effected by the Issuer on October 14, 2019.
( 4 )Amount gives effect to the 2,000-for-1 and the 8-for-1 reverse stock splits effected by the Issuer on June 10, 2021 and March 7, 2022, respectively.

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