Sec Form 3 Filing - Atwood Brent @ AngioSoma, Inc. - 2019-08-13

Insider filing report for Changes in Beneficial Ownership
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FORM 3
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
Atwood Brent
2. Issuer Name and Ticker or Trading Symbol
AngioSoma, Inc. [ SOAN]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
5000 RIVERSIDE DRIVE, STE 100E, BLDG. 6
3. Date of Earliest Transaction (MM/DD/YY)
08/13/2019
(Street)
IRVINE, TX75039
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
Common Shares 1,500,000 I Equine Charter Private Equity Fund XII ( 1 )
Common Shares 1,000,000 I Equine Charter Private Equity Fund XI ( 1 )
Common Shares 4,522,812 I Cargill-Atwood Family Private Equity Fund, LLC
Common Shares 50,000 I Goddard Investment Company PE Fund XIX ( 1 )
Common Shares 250,000 I Equine Private Equity Fund LXXVII (77) LLC ( 1 )
Common Shares 1,250,000 I Equine Charter Private Equity Fund XV, LLC
Common Shares 1,400,000 I Equine Charter Private Equity Fund DCCCLXXXVIII, LLC ( 1 )
Common Shares 170,000 I Family Trust
Common Shares 2,900,469 I Equine Private Equity Fund 755460, LLC ( 1 )
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
Atwood Brent
5000 RIVERSIDE DRIVE, STE 100E, BLDG. 6
IRVINE, TX75039
X
Signatures
/s/ Brent Atwood 08/15/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Brent Atwood is the Chief Executive Manager of Equine Holdings, LLC ("Holdings") and each of the following entities: Equine Charter Private Equity Fund XII, Equine Charter Private Equity Fund XI, Goddard Investment Company PE Fund XIX, Equine Private Equity Fund LXXVII (77) LLC, Equine Charter Private Equity Fund XV, LLC, Equine Charter Private Equity Fund DCCCLXXXVIII, LLC and Equine Private Equity Fund 755460, LLC (the "Equine Entities"). Holdings also serves as the manager of, and holds a 1% interest in each of the Equine Entities. Mr. Atwood and Holdings each disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interest therein.

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