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Mitta Vidhyadhar – ‘4’ for 11/9/20 re: IIOT-OXYS, Inc.

On:  Thursday, 11/12/20, at 4:31pm ET   ·   For:  11/9/20   ·   Accession #:  1553997-20-21   ·   File #:  0-50773

Previous ‘4’:  ‘4’ on 6/12/20 for 9/6/19   ·   Latest ‘4’:  This Filing

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

11/12/20  Mitta Vidhyadhar                  4                      1:11K  IIOT-OXYS, Inc.                   Higley Brian/FA

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Statement of Changes in Beneficial Ownership of     HTML      3K 
                Securities by an Insider -- primary_doc.xml/3.6


        

This ‘4’ Document is an XML Data File that may be rendered in various formats:

  Form 4    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 
 
Plain Text rendering:  Statement of Changes in Beneficial Ownership of Securities by an Insider
 
                                                                                                                                                                                
Ownership Document
 
Schema Version:  X0306
Document Type:  4
Period of Report:  11/9/20
Not Subject to Section 16:  0
Issuer:
Issuer CIK:  1290658
Issuer Name:  IIOT-OXYS, Inc.
Issuer Trading Symbol:  ITOX
Reporting Owner:
Reporting Owner ID:
Owner CIK:  1712605
Owner Name:  Mitta Vidhyadhar
Reporting Owner Address:
Owner Street 1:  6 COURTHOUSE LN #16
Owner Street 2:
Owner City:  CHELMSFORD
Owner State:  MA
Owner ZIP Code:  01824
Owner State Description:
Reporting Owner Relationship:
Is Director?  Yes
Is Officer?  No
Is Ten Percent Owner?  Yes
Is Other?  No
Non-Derivative Table:
Non-Derivative Holding:
Security Title:
Value:  Common Stock
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  1,736,843
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Non-Derivative Transaction:
Security Title:
Value:  Common Stock
Transaction Date:
Value:  11/9/20
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  A
Equity Swap Involved?  No
Transaction Timeliness:
Value:
Transaction Amounts:
Transaction Shares:
Value:  1,000,000
Footnote ID:  F1
Transaction Price Per Share:
Value:  0
Footnote ID:  F1
Transaction Acquired-Disposed Code:
Value:  A
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  2,736,843
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Non-Derivative Transaction:
Security Title:
Value:  Common Stock
Transaction Date:
Value:  11/9/20
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  U
Equity Swap Involved?  Yes
Transaction Timeliness:
Value:
Transaction Amounts:
Transaction Shares:
Value:  1,000,000
Footnote ID:  F2
Transaction Price Per Share:
Value:  0
Footnote ID:  F2
Transaction Acquired-Disposed Code:
Value:  D
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  1,736,843
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Table:
Derivative Holding:
Security Title:
Value:  Convertible Note
Footnote ID:  F3
Conversion or Exercise Price:
Value:  0.0008
Footnote ID:  F4
Exercise Date:
Value:  8/2/19
Footnote ID:  F3
Expiration Date:
Value:  8/2/21
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  168,026,190
Footnote ID:  F5
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  169,763,033
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Holding:
Security Title:
Value:  Warrants
Conversion or Exercise Price:
Value:  0.0008
Footnote ID:  F7
Exercise Date:
Value:  8/2/19
Footnote ID:  F6
Expiration Date:
Value:  10/16/24
Footnote ID:  F6
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  1,562,500
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  171,325,533
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Transaction:
Security Title:
Value:  Convertible Promissory Note
Conversion or Exercise Price:
Value:  0.0008
Transaction Date:
Value:  11/9/20
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  U
Equity Swap Involved?  Yes
Transaction Timeliness:
Value:
Transaction Amounts:
Transaction Total Value:
Value:  168
Footnote ID:  F2
Transaction Price Per Share:
Value:  0
Footnote ID:  F2
Transaction Acquired-Disposed Code:
Value:  D
Exercise Date:
Value:  8/2/19
Expiration Date:
Value:  8/2/21
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  200,000
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  171,125,533
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Transaction:
Security Title:
Value:  Series A Supervoting Preferred Stock
Footnote ID:  F2
Conversion or Exercise Price:
Value:  100
Footnote ID:  F8
Transaction Date:
Value:  11/9/20
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  U
Equity Swap Involved?  Yes
Transaction Timeliness:
Value:
Transaction Amounts:
Transaction Shares:
Value:  12,000
Transaction Price Per Share:
Value:  0
Footnote ID:  F2
Transaction Acquired-Disposed Code:
Value:  A
Exercise Date:
Value:  11/9/20
Expiration Date:
Value:  11/9/20
Footnote ID:  F8
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  1,200,000
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  172,325,533
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Footnotes:
Footnote - F1:  On November 9, 2020, with Mr. Mitta abstaining, the board of directors awarded Mr. Mitta 1,000,000 shares of Common Stock in exchange for services rendered as a director since his appointment.
Footnote - F2:  On November 9, 2020, Mr. Mitta exchanged 1,000,000 shares of awarded, unissued shares of Common Stock and $168 of accrued and unpaid interest pursuant to a note issued to Mr. Mitta in exchange for an aggregate of 12,000 shares of Series A Supervoting Preferred Stock.
Footnote - F3:  The convertible note was issued in three tranches: $75,000 issued 8/2/19, $25,000 issued 9/6/19, and $25,000 issued 10/16/19.
Footnote - F4:  The conversion price has adjusted from $0.08 to $0.00084 pursuant to its terms.
Footnote - F5:  Includes principal of $125,000 and accrued and unpaid interest of $16,142.
Footnote - F6:  The warrants are five year warrants and were issued in three tranches: 468,750 issued 8/2/19, 312,500 issued 9/6/19, and 312,500 issued 10/16/19. The warrants have been adjusted due to defaults per the terms of the Warrant Agreement and convertible promissory note.
Footnote - F7:  The exercise price was adjusted to $0.00084 per the terms of the Warrant Agreement.
Footnote - F8:  The shares of Series A Supervoting Preferred Stock are convertible into 100 shares of the Company's Common Stock.
Owner Signature:
Signature Name:  /s/ Vidhyadhar Mitta
Signature Date:  11/12/20


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