Initial Statement of Beneficial Ownership (3)
April 16 2018 - 5:13PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Rokk3r Labs, LLC
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2. Date of Event Requiring Statement (MM/DD/YYYY)
12/26/2017
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3. Issuer Name
and
Ticker or Trading Symbol
Rokk3r Inc. [EDRG]
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(Last)
(First)
(Middle)
2121 NW 2ND AVENUE #203
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
___
X
___ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
(1) /
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(Street)
MIAMI, FL 33127
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock, par value $0.0001 per share
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83727208
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D
(1)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(1)
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This report is filed jointly by Rokk3r Labs, LLC, Nabyl Charania and German Montoya. Messrs. Charania and Montoya are directors of the Issuer and Mr. Charania is the Issuer's Chief Executive Officer and Chief Financial Officer. These shares are owned by Rokk3r Labs, LLC and Messrs. Charania and Montoya jointly exercise voting and dispositive control over the Issuer's common stock owned by Rokk3r Labs. Messrs. Charania and Montoya disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interest therein.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Rokk3r Labs, LLC
2121 NW 2ND AVENUE #203
MIAMI, FL 33127
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X
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X
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(1)
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Charania Nabyl
2121 NW 2ND AVENUE #203
MIAMI, FL 33127
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X
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(1)
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Montoya German
2121 NW 2ND AVENUE #203
MIAMI, FL 33127
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X
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Signatures
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/s/ German Montoya
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4/16/2018
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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