Statement of Ownership (sc 13g)
March 17 2015 - 6:03AM
Edgar (US Regulatory)
SCHEDULE 13G
(Rule 13d-102)
Information to be Included in Statements
Filed Pursuant
to Rule 13d-1(b), (c) and (d) and
Amendments Thereto Filed
Pursuant to Rule 13d-2
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Under the Securities Exchange Act of
1934
CHINA UNITED INSURANCE SERVICE, INC.
(Name of Issuer)
Common Stock, par value $0.00001 per
share
(Title of Class
of Securities)
16952A 101
(CUSIP Number)
January 25, 2013
(Date of Event Which Requires Filing
of this Statement)
Check the appropriate box to designate the
rule pursuant to which this Schedule is filed:
¨
Rule 13d-1(b)
¨
Rule 13d-1(c)
x
Rule 13d-1(d)
* |
The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. |
The information required in the remainder
of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange
Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act, but shall be subject to all
other provisions of the Act (however, see the Notes).
|
|
|
|
|
|
|
(1) |
|
Names of reporting person:
Mao Yi Hsiao
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS
(Entities Only):
|
(2) |
|
Check the appropriate box if a member of a
group (see instructions):
(a) ¨
(b) ¨
|
(3) |
|
SEC use only
|
(4) |
|
Citizenship or place of organization:
Taiwan, R.O.C.
|
Number of
shares
beneficially
owned by
each
reporting
person
with
|
|
(5) |
|
Sole voting power
4,170,912 (a)
|
|
(6) |
|
Shared voting power
1,469,322 (b)
|
|
(7) |
|
Sole dispositive power
4,170,912 (a)
|
|
(8) |
|
Shared dispositive power
1,469,322 (b)
|
(9) |
|
Aggregate amount beneficially owned by each
reporting person
5,640,234 (a)(b)
|
(10) |
|
Check
if box the aggregate amount in Row (9) excludes certain shares (see instructions) x
¨
|
(11) |
|
Percent of class represented by amount in
Row (9):
37.4%
(c)
|
(12) |
|
Type of reporting person (see instructions):
IN
|
(a) |
Includes 1,000,000 shares of Series
A Preferred Stock convertible into 1,000,000 shares of common stock and 3,170,912 shares of common stock held by Mao Yi Hsiao. |
|
|
(b) |
Includes 200,000 shares of common stock held by Lee Shu Fen spouse of Mao Yi Hsiao, 969,322 shares of
common stock held by U-Li Investment Consulting Enterprise Co., Ltd., a company 66% owned by Lee Shu Fen and
34% owned by Mao Yi Hsiao, 100,000 shares of common stock held by U-Link International Co Ltd a company
solely owned by Lee Shu Fen and 200,000 shares of common stock held by Mao Li Chieh, Mao Yi Hsiao’s
daughter. |
(c) |
Percentage total voting
power represents voting power with respect to all shares of the common stock and Series A Preferred Stock, voting together
as a single class. Each holder of common stock is entitled to one vote per share of common stock and each holder of
Series A Preferred Stock is entitled to 10 votes per share of Series A Preferred Stock on all matters submitted to the
stockholders for a vote. Based on a total of (i) 29,100,503 shares of common stock outstanding and (ii) 1,000,000 shares
of Series A Preferred Stock outstanding as March 16, 2015. |
Item 1.
(a) Name of Issuer:
China United
Insurance Service, Inc.
(b) Address of Issuer’s Principal Executive Offices:
7F, No. 311
Section 3
Nan-King
East Road
Taipei City,
Taiwan
Item 2.
(a)-(c) Name, Address and Citizenship
of Person Filing:
Mao Yi Hsiao
F/5 No311
SEC3, Nanjing City, Taipei City, Taiwan
Taiwan, R.O.C.
(d) Title
of Class of Securities:
Common Stock,
par value $0.00001 per share
(e) CUSIP Number:
16952A
101
Item 3. If this statement is filed
pursuant to Rule 13d-1(b) or 13d-2(b) or (c), check whether the person filing is a:
|
(a) |
¨ Broker or dealer registered under Section 15 of the Act (15 U.S.C. 78o); |
|
(b) |
¨ Bank as defined in Section 3(a)(6) of the Act (15 U.S.C. 78c); |
|
(c) |
¨ Insurance company as defined in Section 3(a)(19) of the Act (15 U.S.C. 78c); |
|
(d) |
¨ Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); |
|
(e) |
¨ An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E); |
|
(f) |
¨ An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F); |
|
(g) |
¨ A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G); |
|
(h) |
¨ A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); |
|
(i) |
¨ A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); |
|
(j) |
¨ Group, in accordance with Rule 13d-1(b)(1)(ii)(J). |
Item 4. Ownership
The
information in items 1 through 11 on the cover page (page 2) on Schedule 13G is hereby incorporated by reference.
Item 5. Ownership of Five Percent
or Less of a Class.
Not applicable.
Item 6. Ownership of More than Five
Percent on Behalf of Another Person.
Not applicable.
Item 7. Identification
and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company.
Not applicable.
Item 8. Identification and Classification
of Members of the Group.
Not applicable.
Item 9. Notice of Dissolution of Group.
Not applicable.
Item 10. Certifications.
Not applicable.
SIGNATURE
After reasonable inquiry and to the best of
my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
|
March
15, 2015 |
Date |
|
/s/ Mao Yi Hsiao |
Signature |
|
Mao
Yi Hsiao |
Name and Title |
China United Insurance S... (CE) (USOTC:CUII)
Historical Stock Chart
From Jun 2024 to Jul 2024
China United Insurance S... (CE) (USOTC:CUII)
Historical Stock Chart
From Jul 2023 to Jul 2024