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*
Purdy Rick Leigh

(Last) (First) (Middle)
300-3295 QUALITY WAY

(Street)
WINDSOR, ONTARIO, CANADA A6 N8T 3R9

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/19/2021
3. Issuer Name and Ticker or Trading Symbol
CEN BIOTECH INC [ CENBF ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
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 215,720(1) 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
Convertible Note 05/03/2019 05/03/2021 Common Stock 62,500(2) $1.6 D
Convertible Note 01/15/2018 01/15/2020 Common Stock 31,250(3) $1.6 D
Explanation of Responses:
1. Rick Purdy (the "Reporting Person") was appointed to his positions with CEN Biotech, Inc. (the "Issuer") on April 19, 2021 and owned 215,720 shares of the Issuer's common stock at such date held in the name of Herc Holdings Inc.
2. The Reporting Person also held a convertible promissory note held in the name of Herc Holdings Inc. on the date of appointment in the amount of $100,000 which was convertible into 62,500 shares of the Issuer's common stock at such date.
3. The Reporting Person also held a convertible promissory note held in the name of Herc Holdings Inc. on the date of appointment in the amount of $50,000 which is convertible into 31,250 shares of the Issuer's common stock at such date.
/s/ Rick Purdy 05/03/2021
** 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.
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