Schedule 13D
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
(Amendment No. )*
(Name of Issuer)
(Title of Class of Securities)
(CUSIP Number)
Stephen R. Boatwright, Esq.
Keller Rohrback, PLC
3101 North Central Ave., Suite 1400
Phoenix, AZ 85012
(602) 248-0088
(Name, Address and Telephone Number of Person Authorized to
Receive Notices and Communications)
(Date of Event Which Requires Filing of this Statement)
If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box. o
Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7 for other parties to whom copies are to be sent.
* The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
The information required on 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).
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NAMES OF REPORTING PERSONS
Supplemental Manufacturing & Ingredients LLC |
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
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(a) o |
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(b) o |
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SEC USE ONLY |
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SOURCE OF FUNDS (SEE INSTRUCTIONS) |
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WC |
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CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) |
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o |
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CITIZENSHIP OR PLACE OF ORGANIZATION |
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United States
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SOLE VOTING POWER |
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NUMBER OF |
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18,581,561 |
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SHARES |
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SHARED VOTING POWER |
BENEFICIALLY |
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OWNED BY |
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50,000,000 |
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EACH |
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SOLE DISPOSITIVE POWER |
REPORTING |
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PERSON |
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18,581,561 |
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WITH |
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SHARED DISPOSITIVE POWER |
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50,000,000 |
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
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68,581,561 |
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) |
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56.2% |
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14 |
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) |
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OO (limited liability company) |
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1 |
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NAMES OF REPORTING PERSONS
Kevin Taheri |
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2 |
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
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(a) o |
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(b) o |
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SEC USE ONLY |
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SOURCE OF FUNDS (SEE INSTRUCTIONS) |
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AF |
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CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) |
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o |
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6 |
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CITIZENSHIP OR PLACE OF ORGANIZATION |
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United States
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7 |
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SOLE VOTING POWER |
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NUMBER OF |
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None |
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SHARES |
8 |
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SHARED VOTING POWER |
BENEFICIALLY |
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OWNED BY |
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68,581,561 |
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EACH |
9 |
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SOLE DISPOSITIVE POWER |
REPORTING |
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PERSON |
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None |
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WITH |
10 |
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SHARED DISPOSITIVE POWER |
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68,581,561 |
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11 |
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
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68,581,561 |
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12 |
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
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o
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13 |
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) |
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56.2% |
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14 |
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) |
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IN |
3
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NAMES OF REPORTING PERSONS
Ferrel H. Raskin |
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
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(a) o |
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(b) o |
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SEC USE ONLY |
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SOURCE OF FUNDS (SEE INSTRUCTIONS) |
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AF |
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CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) |
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o |
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CITIZENSHIP OR PLACE OF ORGANIZATION |
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United States
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7 |
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SOLE VOTING POWER |
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NUMBER OF |
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None |
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SHARES |
8 |
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SHARED VOTING POWER |
BENEFICIALLY |
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OWNED BY |
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68,581,561 |
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EACH |
9 |
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SOLE DISPOSITIVE POWER |
REPORTING |
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PERSON |
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None |
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WITH |
10 |
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SHARED DISPOSITIVE POWER |
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68,581,561 |
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11 |
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
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68,581,561 |
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) |
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56.2% |
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14 |
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) |
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IN |
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NAMES OF REPORTING PERSONS
Donald N. Raskin, Trustee of the Raskin Family Trust |
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
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(a) o |
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(b) o |
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SEC USE ONLY |
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SOURCE OF FUNDS (SEE INSTRUCTIONS) |
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AF |
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CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) |
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o |
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CITIZENSHIP OR PLACE OF ORGANIZATION |
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United States
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7 |
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SOLE VOTING POWER |
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NUMBER OF |
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None |
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SHARES |
8 |
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SHARED VOTING POWER |
BENEFICIALLY |
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OWNED BY |
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68,581,561 |
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EACH |
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SOLE DISPOSITIVE POWER |
REPORTING |
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PERSON |
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None |
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WITH |
10 |
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SHARED DISPOSITIVE POWER |
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68,581,561 |
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11 |
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
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68,581,561 |
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12 |
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
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o
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) |
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56.2% |
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) |
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IN |
5
Item 1. Security and Issuer.
This statement on Schedule 13D relates to the Common Stock, par value $0.00001 per share (the
Common Stock) of HealthSport, Inc., a Delaware corporation (the Issuer). The principal
executive offices of the Issuer are located at 1620 Beacon Pl. Oxnard, CA 93033.
Item 2. Identity and Background.
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(a) |
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This statement on Schedule 13D is being filed by (i) Supplemental
Manufacturing & Ingredients LLC (SMI), with respect to Common Stock directly and
beneficially owned by it; (ii) Mr. Kevin. Taheri, a U.S. citizen, who is a member and
manager of SMI; (iii) Mr. Ferrel H. Raskin, a U.S. citizen, who is a member and manager
of SMI; and (iv) Mr. Donald N. Raskin, a U.S. citizen, as trustee of the Raskin Family
Trust which is a member of SMI. Each of the foregoing is referred to as a Reporting
Person and collectively as the Reporting Persons. Each of the Reporting Persons is
party to that certain Joint Filing Agreement, as further described in Item 6.
Accordingly, the Reporting Persons are hereby filing a joint Schedule 13D. |
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(b) |
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The address of each Reporting Person is 2401 W. 1st Street, Tempe, Arizona
85281. |
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(c) |
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SMI is in the business of manufacturing protein drinks, food products and
dietary supplements. Mr. Taheris principal occupation is Chief Executive Officer of
SMI. He is also a director and Chief Executive Officer of the Issuer. Mr. Ferrel
Raskins principal occupation is Chairman of the Board of SMI. He also serves as a
director of the Issuer. Mr. Donald Raskin is retired. |
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(d) |
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No Reporting Person has, during the last five years, been convicted in a
criminal proceeding (excluding traffic violations or similar misdemeanors). |
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(e) |
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No Reporting Person been a party to a civil proceeding of a judicial or
administrative body of competent jurisdiction resulting in judgment, decree or final
order enjoining future violation of, or prohibiting or mandating activities subject to,
federal or state securities laws or finding any violation with respect to such laws. |
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(f) |
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Each Reporting Person is a citizen of the United States of America. |
Item 3. Source and Amount of Funds or Other Consideration.
SMI purchased 1,914,894 shares of Common Stock on November 16, 2009 pursuant to a
Manufacturing License Agreement with InnoZen, Inc., a wholly-owned subsidiary of the Issuer, dated
August 13, 2009. Such shares were purchased with working capital from the Issuer for $0.235 per
share. SMI purchased the balance of 66,666,667 share of Common Stock pursuant to a Stock Purchase
Agreement with the Issuer dated November 6, 2009. The purchase price per share was $0.15, which was
paid with $2,000,000 in cash on December 1, 2009 and the balance of $8,000,000 pursuant to a
Promissory Note dated December 1, 2009. SMI paid the Issuer $500,000 under the Promissory Note on
or about December 1, 2009. The funds paid to date under the Stock Purchase Agreement were from
SMIs working capital. The Promissory Note is
secured by a Pledge Agreement of the same date, pursuant to which 53,333,334 shares of
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Common
Stock were placed into escrow. Pursuant to the Stock Pledge Agreement, the Issuer has the right to
vote all shares of Common Stock subject thereto, which as of the date hereof was approximately
50,000,000 shares. Each of the Stock Purchase Agreement, Promissory Note and Pledge Agreement were
amended on March 19, 2010, which extended the payment terms under the Note and further delineated
SMIs payment obligations with respect to the Issuers operations. The Manufacturing License
Agreement, the Stock Purchase Agreement, the Promissory Note, the Pledge Agreement and the
aforementioned amendments thereto are attached hereto as Exhibits 1 through 7 (collectively, the
Stock Purchase Documents). The descriptions herein of the Stock Purchase Documents are qualified
in their entirety by reference to such agreements.
The information set forth or incorporated in Items 4 and 6 hereof is incorporated herein by
reference.
Item 4. Purpose of Transaction.
The information set forth or incorporated in Items 3 and 6 hereof is incorporated herein by
reference.
SMI purchased the shares of Common Stock pursuant to the Stock Purchase Documents for
investment purposes. SMI acquired the shares because the Reporting Persons favorably regard the
overall business operations and long-term prospects of the Issuer and are supportive of the
Issuers ongoing efforts to grow the business. The Reporting Persons intend to review the SMIs
investment in the Issuer on an ongoing basis. Depending on their review and evaluation of the
business and prospects of the Issuer, applicable securities laws and the price level of the Common
Stock, or such other factors as they may deem relevant, the Reporting Persons may directly of
indirectly acquire additional shares of Common Stock or other securities of the Issuer, may sell
all or any part of their Common Stock pursuant to Rule 144, in privately negotiated transactions or
in sales registered or exempt from registration under the Securities Act of 1933 (the Securities
Act), may distribute Common Stock to various of their members or may engage in any combination of
the foregoing.
The Stock Purchase Documents, as amended, provide, among other items, the following:
(i) Upon the closing of the Stock Purchase Agreement, the Issuers Board of Directors was
expanded from six members to seven. SMI obtained the right to appoint four members of the
Board of Directors. In connection therewith, three members resigned. Messrs Taheri and
Ferrel Raskin were two of the four directors appointed by SMI;
(ii) The Promissory Note provides for the following payments: $2,050,000 on or before May
15, 2010; $2,500,000 on or before July 15, 2010 and the remaining principal and interest on
or before September 15, 2010;
(iii) In addition, if prior to payment of the May 15, 2010 installment the Issuer has
insufficient funds to pay (a) its accounts payable as of March 19, 2010, (b) any obligations
incurred in the ordinary course of business after March 19, 2010 or (c) any
payments due related to the improvements to its Oxnard plant, SMI is obligated to advance
the issuer sufficient funds to make those payments. SMIs obligation to make
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advances for expense reimbursement under clause (a) and (b) above is limited to an aggregate of
$1,000,000 and its obligation under clause (c) is limited to an aggregate of $700,000. Any
such advance payments will be credited against the May 15, 2010 payment obligation under the
Promissory Note.
(iv) The Promissory Note originally provided that the payment obligations were non-recourse
and that the Issuer was limited to a foreclosure action pursuant to the Pledge Agreement and
removal of SMIs director appointees from its Board of Directors as its exclusive remedies
for SMIs breach of its obligations under the Promissory Note. The Amendment to the
Promissory Note modifies the terms to provide that if SMI fails to make a scheduled payment
under the Promissory Note and such failure continues for a period of two (2) days then SMI
is obligated to pay the Issuer an amount in cash so that the amount of money available in
its corporate bank account equals $500,000. The obligation to pay up to $500,000 is a
recourse obligation to SMI.
(v) Upon any payment pursuant to the Promissory Note, SMI is entitled to a release of shares
from the Pledge Agreement at the rate of $0.15 per share.
(vi) The Issuer is required to issue additional shares of Common Stock to SMI so that SMI
maintains a 55% ownership stake in the aggregate of (a) those shares outstanding as of the
date of the Stock Purchase Agreement, (b) any shares issued to SMI due to certain
undisclosed liabilities that are described in the Stock Purchase Agreement and (c) any
shares issued to third parties from the exercise of options, warrants or other derivative
securities that were either outstanding or reserved for issuance as of the date the Stock
Purchase Agreement closed. The time period of the Issuers obligation to issue such shares
to SMI is September 15, 2011.
(vii) The Issuer is required to issue additional shares of Common Stock to SMI in the event
it has certain undisclosed liabilities that are described in the Stock Purchase Agreement.
It is required to issue shares to SMI in the event of an undisclosed liability in an amount
equal to 55% of such undisclosed liability multiplied by $0.15. The time period of this
obligation to issue such shares to SMI is September 15, 2010.
(viii) If on September 15, 2010 the shares issued under the Stock Purchase Agreement
together with any shares issued to SMI pursuant to either of the provisions summarized in
items (vi) and (vii) above equal less than 55% of the outstanding Common Stock, then SMI has
the right to purchase the number of shares of our Common Stock so that SMI owns 55% of the
shares of Common Stock outstanding as of September 15, 2010. The Amendment to the Stock
Purchase Agreement extended the measuring date with respect to such option from June 30,
2010 to September 15, 2010 and the date such option expires from August 31, 2010 to November
30, 2010.
(ix) The Issuer maintains the right to vote all shares held pursuant to the Stock Pledge
Agreement. In addition, in the event of a default under the Stock Purchase Documents, the
Issuer may cause the resignation of the four SMI-appointed directors from the Issuers Board
of Directors.
Except as set forth in this Schedule 13D, the Reporting Persons have made no proposals, and
have entered into no agreements, which would be related to or would result in any of the events or
matters described in parts (a) through (j) of Item 4 of Schedule 13D. However, as part
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of its ongoing review of investment alternatives, the Reporting Persons may consider such matters in the
future and, subject to applicable law, may formulate a plan with respect to such events or matters,
or may hold discussions with or make formal proposals to management or the Board of Directors of
the Issuer, other stockholders of the Issuer or other parties regarding such matters.
Item 5. Interest in Securities of the Issuer.
(a) As of the close of business on April 22, 2010, SMI beneficially owned 68,581,561 shares of
Common Stock, representing approximately 56.2% of the 122,082,717 shares of Common Stock reported
to be outstanding by the Issuers transfer agent on such date. Kevin Taheri, as a manager and
member of SMI, Ferrel Raskin, as a manager and member of SMI, and Donald Raskin, as trustee of the
Raskin Family Trust, a member of SMI, may each be deemed to indirectly beneficially own 68,581,561
shares, representing approximately 56.2% of the shares of Common Stock.
(b) SMI has the sole power to vote or to direct the vote and to dispose or direct the
disposition of all shares of Common Stock beneficially owned by it, except for 50,000,000 shares
which are subject to the Stock Pledge Agreement and as to which the Issuer maintains voting rights
and which may not be disposed of until released therefrom. The information set forth or
incorporated in Items 3, 4 and 6 hereof is incorporated herein by reference. Kevin Taheri, Ferrel
Raskin and Donald Raskin indirectly have the power to vote, direct the vote, dispose and direct the
disposition of 18,581,561 shares of Common Stock, excluding the 50,000,000 shares subject to the
Stock Pledge Agreement.
(c) Except as disclosed in this Schedule 13D, no Reporting Person has effected any transaction
in the Common Stock during the past 60 days.
(d) Each member of SMI that has the right to participate in the investment in these shares of
Common Stock has the right to receive dividends from, or proceeds from the sale of investments by
SMI, including the shares of Common Stock, in accordance with their membership interests in SMI and
subject to the terms and conditions of SMIs operating agreement and the terms of the Stock
Purchase Documents described herein.
(e) Not applicable.
Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the
Issuer.
The information set forth or incorporated in Items 3 and 4 hereof is incorporated herein by
reference. The summaries of the Stock Purchase Documents set forth in Items 3 and 4 hereof do not
purport to be complete and each is qualified in its entirety incorporated by reference to the
complete text of such agreement attached hereto as Exhibits 1 through 7, respectively, which are
incorporated herein by reference. The Reporting Persons have executed a Joint Filing
Agreement, pursuant to which they agreed to the joint filing of each of the statements on Schedule
13D with respect to securities of the Issuer to the extent required by applicable law, a
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copy of which is attached hereto as Exhibit 8 and incorporated herein by this reference. Other than as
described herein or set forth on an Exhibit hereto, there are no contracts, arrangements,
understandings or relationships among the Reporting Persons, or between the Reporting Persons and
any other person, with respect to the securities of the Issuer.
Item 7. Material To Be Filed As Exhibits.
Exhibit 1 Manufacturing License Agreement by and between InnoZen, Inc. and Supplemental
Manufacturing & Ingredients LLC dated August 13, 2009 (incorporated by reference to Exhibit 10.1 to
the Form 10-Q/A filed by the Issuer with the Securities and Exchange Commission on April 14, 2010)
Exhibit 2 Stock Purchase Agreement by and between HealthSport, Inc. and Supplemental
Manufacturing & Ingredients LLC dated November 6, 2009 (incorporated by reference to Exhibit 10.1
to the Form 8-K filed by the Issuer with the Securities and Exchange Commission on November 10,
2009)
Exhibit 3 Promissory Note issued by Supplemental Manufacturing & Ingredients LLC to HealthSport,
Inc. dated December 1, 2009 (incorporated by reference to Exhibit 4.1 to the Form 8-K filed by the
Issuer with the Securities and Exchange Commission on November 10, 2009)
Exhibit 4 Stock Pledge Agreement by and between HealthSport, Inc. and Supplemental Manufacturing
& Ingredients LLC dated December 1, 2009 (incorporated by reference to Exhibit 10.2 to the Form 8-K
filed by the Issuer with the Securities and Exchange Commission on November 10, 2009)
Exhibit 5 Amendment to Stock Purchase Agreement by and between HealthSport, Inc. and Supplemental
Manufacturing & Ingredients LLC dated March 19, 2010 (incorporated by reference to Exhibit 10.1 to
the Form 8-K filed by the Issuer with the Securities and Exchange Commission on March 25, 2010)
Exhibit 6 Amendment to Promissory Note by and between HealthSport, Inc. and Supplemental
Manufacturing & Ingredients LLC dated March 19, 2010 (incorporated by reference to Exhibit 4.1 to
the Form 8-K filed by the Issuer with the Securities and Exchange Commission on March 25, 2010)
Exhibit 7 Amendment to Stock Pledge Agreement by and between HealthSport, Inc. and Supplemental
Manufacturing & Ingredients LLC dated March 19, 2010 (incorporated by reference to Exhibit 10.2 to
the Form 8-K filed by the Issuer with the Securities and Exchange Commission on March 25, 2010)
Exhibit 8 Joint Filing Agreement by and among Supplemental Manufacturing & Ingredients LLC, an
Arizona limited liability company, Kevin Taheri, Ferrel H. Raskin and Donald N. Raskin, Trustee,
dated April 22, 2010
10
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.
Dated: April 27, 2010
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Supplemental Manufacturing & Ingredients LLC
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By: |
/s/ Ferrel H. Raskin
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Its: CEO |
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/s/ Kevin Taheri
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Kevin Taheri, |
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In his individual capacity |
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/s/ Ferrel H. Raskin
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Ferrel H. Raskin, |
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In his individual capacity |
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/s/ Donald N. Raskin
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Donald N. Raskin, Trustee of the |
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Raskin Family Trust |
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