SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Zhang Yiwen

(Last) (First) (Middle)
LEVEL 27, RIALTO TOWER
525 COLLINS STREET

(Street)
MELBOURNE C3 3000

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/19/2017
3. Issuer Name and Ticker or Trading Symbol
Sincerity Applied Materials Holdings Corp. [ SINC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO, President
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 45,211,047 I By Zhang Family Trust(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
Zhang Yiwen

(Last) (First) (Middle)
LEVEL 27, RIALTO TOWER
525 COLLINS STREET

(Street)
MELBOURNE C3 3000

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO, President
1. Name and Address of Reporting Person*
Zhang Family Trust

(Last) (First) (Middle)
LEVEL 27, RIALTO TOWER
525 COLLINS STREET

(Street)
MELBOURNE C3 3000

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Yin Ting

(Last) (First) (Middle)
LEVEL 27, RIALTO TOWER
525 COLLINS STREET

(Street)
MELBOURNE C3 3000

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Zhang Family Trust (the "Trust") owns the reporting securities directly. Each of Zhang Yiwen and his wife, Ting Yin (the sole director/secretary of MFHP Pty Ltd, the trustee of the Trust), is a beneficiary of the Trust and shares equal voting and investment power over the reporting securities held by the Trust.
/s/ Zhang Yiwen 04/13/2018
/s/ Ting Yin 04/13/2018
/s/ Ting Yin 04/13/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.