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Ownership Document |
Schema Version: X0306 |
Document Type: 4 |
Period of Report: 2/21/22 |
Not Subject to Section 16: 0 |
Issuer: |
| Issuer CIK: 1310527 |
| Issuer Name: QSAM Biosciences, Inc. |
| Issuer Trading Symbol: QSAM |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1512113 |
| | Owner Name: Link Jr. Charles J |
| Reporting Owner Address: |
| | Owner Street 1: 9442 CAPITAL OF TEXAS HWY N, PLAZA 1, |
| | Owner Street 2: SUITE 500 |
| | Owner City: AUSTIN |
| | Owner State: TX |
| | Owner ZIP Code: 78759 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: |
| | Other Text: |
Derivative Table: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Options to buy common stock |
| | Conversion or Exercise Price: |
| | | Value: .20 |
| | Transaction Date: |
| | | Value: 2/21/22 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 1,000,000 |
| | | Transaction Price Per Share: |
| Value: 0.00 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Value: 12/31/22 |
| | Expiration Date: |
| | | Value: 2/21/32 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 1,000,000 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 1,000,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
Owner Signature: |
| Signature Name: /s/ Charles Link Jr. |
| Signature Date: 3/8/22 |