Initial Statement of Beneficial Ownership (3)
December 09 2021 - 11:05AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
*
Hrytsyshyn Angelia Lansinger |
2. Date of Event Requiring Statement (MM/DD/YYYY)
11/22/2021
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3. Issuer Name and Ticker or Trading Symbol
MPHASE TECHNOLOGIES, INC. [XDSL]
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(Last)
(First)
(Middle)
C/O MPHASE TECHNOLOGIES, INC.,, 9841 WASHINGTONIAN BOULEVARD, #390 |
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 / |
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(Street)
GAITHERSBURG, MD 20878
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 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 Beneficially Owned
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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) |
| Restricted Stock Units | 500000 (1) | 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. 4) | 2. Date Exercisable and Expiration Date
(MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: 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 |
| Explanation of Responses: |
| (1) | Pursuant to the terms of the employment agreement, by and between Ms. Hrytsyshyn and the Issuer, on November 22, 2021 (the "Effective Date"), Ms. Hrytsyshyn was granted 500,000 restricted stock units of the Issuer's common stock (the "RSUs"), with the RSUs vesting as follows: (i) 125,000 RSUs shall vest on the one year anniversary of the Effective Date; (ii) 125,000 RSUs shall vest on the second year anniversary of the Effective Date; (iii) 125,000 RSUs shall vest on the third year anniversary of the Effective Date; and (iv) 125,000 RSUs shall vest on the fourth year anniversary of the Effective Date. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Hrytsyshyn Angelia Lansinger
C/O MPHASE TECHNOLOGIES, INC.,
9841 WASHINGTONIAN BOULEVARD, #390
GAITHERSBURG, MD 20878 |
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| Chief Financial Officer |
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Signatures
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| /s/ Angelia Lansinger Hrytsyshyn | | 12/8/2021 |
| **Signature of Reporting Person | Date |
MPhase Technologies (CE) (USOTC:XDSL)
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