Form 6-K - Report of foreign issuer [Rules 13a-16 and 15d-16]
October 15 2024 - 7:00AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 6-K
REPORT OF FOREIGN PRIVATE ISSUER
PURSUANT TO RULE 13a-16 OR 15d-16 OF
THE SECURITIES EXCHANGE ACT OF 1934
For the month of October 2024
Commission File Number: 001-41089
Advanced Health Intelligence Ltd
(Translation of registrant’s name into English)
71-73 South Perth Esplanade, Unit 5
South Perth, WA 6151
Australia
(Address of principal executive offices)
Indicate by check mark whether the registrant files or will file annual
reports under cover of Form 20-F or Form 40-F.
Form 20-F ☒
Form 40-F ☐
INFORMATION CONTAINED IN THIS FORM 6-K REPORT
Attached as Exhibit 99.1 to this Report on Form 6-K is a copy of the
market announcement of Advanced Health Intelligence Ltd, dated October 10, 2024: “Appendix 2A - Application for quotation of securities.”
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
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ADVANCED HEALTH INTELLIGENCE LTD |
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Date: October 15, 2024 |
By: |
/s/ Scott Montgomery |
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Name: |
Scott Montgomery |
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Title: |
Chief Executive Officer |
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Exhibit 99.1
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Appendix 2A - Application for quotation of securities |
Entity name
ADVANCED HEALTH INTELLIGENCE
LTD
Announcement Type
New announcement
Date of this announcement
Thursday October 10, 2024
The +securities to be quoted are:
+Securities issued as part
of a transaction or transactions previously announced to the market in an Appendix 3B
Total number of +securities to
be quoted
ASX +security code |
Security description |
Number of +securities to
be quoted |
Issue date |
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AHI |
ORDINARY FULLY PAID |
6,284,441 |
10/10/2024 |
Refer to next page for full details of the announcement
Appendix 2A - Application for quotation of securities | 1 / 6 |
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Appendix 2A - Application for quotation of securities |
Part 1 - Entity and announcement details |
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1.1 Name of entity
ADVANCED HEALTH INTELLIGENCE LTD
We (the entity named above) apply
for +quotation of the following +securities and agree to the matters set out in Appendix 2A of the ASX Listing Rules.
1.2 Registered number type |
Registration number |
ABN |
85602111115 |
1.3 ASX issuer code
AHI
1.4 The announcement is
New announcement
1.5 Date of this announcement
10/10/2024
Appendix 2A - Application for quotation of securities | 2 / 6 |
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Appendix 2A - Application for quotation of securities |
2.1 The +securities to be quoted
are:
+Securities
issued as part of a transaction or transactions previously announced to the market in an Appendix 3B
Previous Appendix 3B details:
Announcement Date and Time |
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Announcement Title |
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Selected Appendix 3B to submit quotation request |
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15-Apr-2024 13:00 |
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New - Proposed issue of securities - AHI |
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A placement or other type of issue |
2.3a.2 Are there any further issues of +securities
yet to take place to complete the transaction(s) referred to in the Appendix 3B?
No
Appendix 2A - Application for quotation of securities | 3 / 6 |
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Appendix 2A - Application for quotation of securities |
Part 3A - number and type of +securities
to be quoted where issue has previously been notified to ASX in an Appendix 3B
Placement Details
ASX +security code and description
AHI : ORDINARY FULLY PAID
Issue date
10/10/2024
Distribution Schedule
Provide a distribution schedule
for the new +securities according to the categories set out in the left hand column including the number of recipients and the total percentage
of the new +securities held by the recipients in each category.
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Total percentage of +securities held |
Number of +securities held |
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Number of holders |
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For example, to enter a value of 50% |
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please input as 50.00 |
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1 - 1,000 |
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% |
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1,001 - 5,000 |
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% |
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5,001 - 10,000 |
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% |
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10,001 - 100,000 |
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% |
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100,001 and over |
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% |
Appendix 2A - Application for quotation of securities | 4 / 6 |
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Appendix 2A - Application for quotation of securities |
Issue details
Number of +securities to be quoted
6,284,441
Are the +securities being issued
for a cash consideration?
Yes
In what currency is the cash consideration being paid? |
What is the issue price per +security? |
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AUD - Australian Dollar |
AUD 0.06750000 |
Any other information the entity
wishes to provide about the +securities to be quoted
Appendix 2A - Application for quotation of securities | 5 / 6 |
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Appendix 2A - Application for quotation of securities |
Part 4 - Issued capital following quotation |
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Following the quotation of the
+securities the subject of this application, the issued capital of the entity will comprise:
The figures in parts 4.1 and 4.2 below are automatically
generated and may not reflect the entity’s current issued capital if other Appendix 2A, Appendix 3G or Appendix 3H forms are currently
with ASX for processing.
4.1 Quoted +securities (total number
of each +class of +securities quoted on ASX following the +quotation of the +securities subject of this application)
ASX +security code and description |
Total number of
+securities on issue |
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AHI : ORDINARY FULLY PAID |
275,606,341 |
4.2 Unquoted +securities (total
number of each +class of +securities issued but not quoted on ASX)
ASX +security code and description |
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Total number of
+securities on issue |
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AHIAA : OPTION EXPIRING VARIOUS DATES EX VARIOUS PRICES |
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3,340,000 |
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AHIAH : PERFORMANCE RIGHTS |
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22,150,000 |
Appendix 2A - Application for quotation of securities | 6 / 6 |
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