Statement of Changes in Beneficial Ownership (4)
January 18 2023 - 3:22PM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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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
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HOFMEIER RALPH |
2. Issuer Name and Ticker or Trading Symbol
Energy & Water Development Corp
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EAWD
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
CHIEF TECHNOLOGY OFFICER |
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(Last)
(First)
(Middle)
C/O ENERGY AND WATER DEVELOPMENT CORP., 7901 4TH STREET N, SUITE 4174 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/18/2020 |
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(Street)
ST. PETERSBURG, FL 33702
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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| Series A Preferred Stock, par value $0.001 | 12/18/2020 | | A | | 3000000 (1) | A | $0 | 5002488 | D | |
| Common Stock, par value $0.001 | 2/9/2021 | | A | | 10000000 (2) | A | $0 | 27215855 | D | |
| Common Stock, par value $0.001 | 1/18/2023 | | A | | 702523 (3) | A | $0 | 27918378 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code
(Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4) | 8. Price of Derivative Security
(Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Explanation of Responses: |
| (1) | 300,000 of these shares were issued by the Issuer in satisfaction of unpaid compensation owed to the reporting person during the 2020 fiscal year and 2,700,000 of these shares were issued by the Issuer as a one-time bonus to the reporting person in recognition of his extraordinary and unconditional service to and sacrifice for the benefit of the Issuer between 2012 and 2020. This issuance was previously disclosed in a Current Report on Form 8-K filed by the Issuer on December 28, 2020. |
| (2) | These shares are restricted and were issued by the Issuer as a one-time bonus to the reporting person in recognition of his extraordinary and unconditional service to and sacrifice for the benefit of the Issuer between 2012 and 2020. This issuances was previously disclosed in a Current Report on Form 8-K filed by the Issuer on December 28, 2020. |
| (3) | These shares are restricted and were issued by the Issuer in satisfaction of unpaid salary owed to the reporting person during the 2022 fiscal year. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
HOFMEIER RALPH
C/O ENERGY AND WATER DEVELOPMENT CORP.
7901 4TH STREET N, SUITE 4174
ST. PETERSBURG, FL 33702 | X |
| CHIEF TECHNOLOGY OFFICER |
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Signatures
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| /s/ Ralph Hofmeier | | 1/18/2023 |
| **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 4(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 control number. |
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