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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Ayanoglou John

(Last) (First) (Middle)
275 SHORELINE DRIVE, SUITE 150

(Street)
REDWOOD CITY CA 94065

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/16/2019
3. Issuer Name and Ticker or Trading Symbol
BIOTRICITY INC. [ BTCY ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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 41,667 D
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
Warrants (Right to Buy) 04/30/2017 10/26/2020 Common Stock 7,500 $2.5 I By 2303780 Ontario Inc.
Warrants (Right to Buy) 05/31/2017 05/31/2020 Common Stock 7,500 $2.5 I By 2303780 Ontario Inc.
Warrants (Right to Buy) 06/30/2017 06/30/2020 Common Stock 7,500 $2.5 I By 2303780 Ontario Inc.
Warrants (Right to Buy) 07/31/2017 07/31/2020 Common Stock 7,500 $2.18 I By 2303780 Ontario Inc.
Warrants (Right to Buy) 08/31/2017 08/31/2020 Common Stock 7,500 $2.18 I By 2303780 Ontario Inc.
Warrants (Right to Buy) 09/30/2017 09/30/2020 Common Stock 17,500 $2.18 I By 2303780 Ontario Inc.
Warrants (Right to Buy) 09/30/2017 09/30/2020 Common Stock 20,000 $3.5 I By 2303780 Ontario Inc.
Warrants (Right to Buy) 10/26/2017 10/26/2020 Common Stock 50,000 $2.43 D
Warrants (Right to Buy) 12/05/2017 12/05/2020 Common Stock 13,806 $3.5 I By 2303780 Ontario Inc.
Warrants (Right to buy) 03/31/2018 03/31/2021 Common stock 50,000 $2.43 D
Warrants (Right to buy) 06/30/2018 06/30/2021 Common stock 50,000 $2.43 D
Warrants (Right to buy) 09/30/2018 09/30/2021 Common stock 50,000 $2.43 D
Warrants (Right to buy) 12/31/2018 03/31/2021 Common stock 50,000 $0.47 D
Warrants (Right to buy) 03/31/2019 03/31/2022 Common stock 50,000 $0.91 D
Warrants (Right to buy) 06/30/2019 06/30/2022 Common Stock 50,000 $0.66 D
Explanation of Responses:
/s/ John Ayanoglou 08/01/2019
** 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.