SEC Form SC 13D/A filed by Helius Medical Technologies Inc. (Amendment)
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NAMES OF REPORTING PERSONS
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Dane C. Andreeff
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
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☐
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(b)
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☐
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
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AF
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(D) OR 2(E)
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☐
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Canada
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
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34,707
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8
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SHARED VOTING POWER
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59,597
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9
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SOLE DISPOSITIVE POWER
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34,707
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10
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SHARED DISPOSITIVE POWER
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59,597
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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59,597*
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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10.5% (See Item 5 herein)
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14
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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IN
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Item 1. |
Security and Issuer.
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Item 2. |
Identity and Background.
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Item 3. |
Source and Amount of Funds or Other Consideration.
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Item 4. |
Purpose of Transaction.
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Item 3 of this Amendment No. 5 to Schedule 13D is incorporated herein by reference.
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the acquisition by any person of additional securities of the Issuer, or the disposition of securities of the Issuer;
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an extraordinary corporate transaction, such as a merger, reorganization or liquidation, involving the Issuer or any of its subsidiaries;
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a sale or transfer of a material amount of assets of the Issuer or any of its subsidiaries;
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any change in the present board of directors or management of the Issuer, including any plans or proposals to change the number or term of directors or to fill any existing vacancies on the board;
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any material change in the present capitalization or dividend policy of the Issuer;
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any other material change in the Issuer’s business or corporate structure;
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changes in the Issuer’s charter, bylaws or instruments corresponding thereto or other actions which may impede the acquisition of control of the Issuer by any person;
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causing a class of securities of the Issuer to be delisted from a national securities exchange or to cease to be authorized to be quoted in an inter-dealer quotation system of a registered national securities
association;
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a class of equity securities of the Issuer becoming eligible for termination of registration pursuant to Section 12(g)(4) of the Act; or
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any action similar to any of those enumerated above.
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Item 5. |
Interest in Securities of the Issuer.
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(b)
Number of Shares as to which the person has:
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Name
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(a)
Amount Beneficially Owned
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(a)
Percent of Class*
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Sole Power to
Vote or to
Direct the
Vote
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Shared
Power to
Vote or to
Direct the
Vote
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Sole Power to Dispose or to
Direct the Disposition
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Shared Power to Dispose or to
Direct the
Disposition
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Dane Andreeff(1)
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59,597
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10.5%
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34,707
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59,597
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34,707
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59,597
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Item 6.
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Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer.
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Item 7. |
Material to be Filed as Exhibits.
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