CUSIP No.
09073N102
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1. Names of Reporting Persons.
Miko Consulting Group, Inc.
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2. Check the Appropriate Box if a Member of a Group (See Instructions)
(a) T
(b) ¨
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3. SEC Use Only
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4. Source of Funds (See Instructions)
OO
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5. Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e) o
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6. Citizenship or Place of Organization
Nevada
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Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With
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7. Sole Voting Power
0
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8. Shared Voting Power
3,392,474 (1)
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9. Sole Dispositive Power
0
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10. Shared Dispositive Power
3,392,474 (1)
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11. Aggregate Amount Beneficially Owned by Each Reporting Person
3,392,474 (1)
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12. Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) o
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13. Percent of Class Represented by Amount in Row (11)
23.9% (1)
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14. Type of Reporting Person (See Instructions)
CO
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(1)
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Comprised of shares of common stock.
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(2)
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The percentage ownership interest is determined based on 14,203,202 shares of common stock outstanding as of June 29, 2015, as reported by BioSig Technologies, Inc. in its Post-Effective Amendment to its Registration Statement on Form S-1 (No. 333-190080) filed with the Securities and Exchange Commission on June 30, 2015.
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CUSIP No.
09073N102
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1. Names of Reporting Persons.
Lora Mikolaitis
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2. Check the Appropriate Box if a Member of a Group (See Instructions)
(a) T
(b) ¨
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3. SEC Use Only
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4. Source of Funds (See Instructions)
OO
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5. Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e) o
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6. Citizenship or Place of Organization
U.S.A.
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Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With
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7. Sole Voting Power
218,750 (1)
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8. Shared Voting Power
3,392,474 (2)
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9. Sole Dispositive Power
218,750 (1)
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10. Shared Dispositive Power
3,392,474 (2)
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11. Aggregate Amount Beneficially Owned by Each Reporting Person
3,611,224 (3)
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12. Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) o
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13. Percent of Class Represented by Amount in Row (11)
25.1% (4)
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14. Type of Reporting Person (See Instructions)
IN
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(1)
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Comprised of (i) 43,750 shares of common stock and (ii) options to purchase 175,000 shares of common stock that are currently exercisable.
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(2)
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Comprised of 3,392,474 shares of common stock held by Miko Consulting Group, Inc. Ms. Mikolaitis has sole voting and dispositive power over the securities held for the account of Miko Consulting Group, Inc.
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(3)
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Comprised of (i) 43,750 shares of common stock directly held by Ms. Mikolaitis, (ii) options to purchase 175,000 shares of common stock that are currently exercisable, and (iii) 3,392,474 shares of common stock held by Miko Consulting Group, Inc. Ms. Mikolaitis has sole voting and dispositive power over the securities held for the account of Miko Consulting Group, Inc.
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(4)
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The percentage ownership interest is determined based on 14,203,202 shares of common stock outstanding as of June 29, 2015, as reported by BioSig Technologies, Inc. in its Post-Effective Amendment to its Registration Statement on Form S-1 (No. 333-190080) filed with the Securities and Exchange Commission on June 30, 2015. Shares issuable pursuant to the exercise of stock options and other securities held by Ms. Mikolaitis that are currently exercisable or convertible into common stock or exercisable or convertible within 60 days of the date hereof are deemed outstanding and held by Ms. Mikolaitis for computing the percentage of outstanding common stock beneficially owned by Ms. Mikolaitis, but are not deemed outstanding for computing the percentage of outstanding common stock beneficially owned by any other person.
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(a)
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This Schedule 13D is being filed jointly on behalf of Lora Mikolaitis and Miko Consulting Group, Inc. (“Miko Consulting” and, collectively with Ms. Mikolaitis, the “Reporting Persons”). Ms. Mikolaitis has sole voting and dispositive power over the securities held for the account of Miko Consulting.
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(b)
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The Reporting Persons’ business address is c/o BioSig Technologies, Inc., 12424 Wilshire Boulevard, Suite 745, Los Angeles, California, 90025.
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(c)
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Ms. Mikolaitis’s principal occupation is serving as director of administration of the Issuer, which is located at 8441 Wayzata Blvd., Suite 240, Minneapolis, Minnesota, 55426. The principal business of Miko Consulting is providing consulting services to medical technology companies.
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(d)
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During the last five years, none of the Reporting Persons has been convicted in a criminal proceeding.
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(e)
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During the last five years, none of the Reporting Persons has been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and as a result of such proceeding was or is subject to a judgment, decree or final order enjoining future violations 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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The entity named above is a citizen of Nevada. The natural person named above is a citizen of the United States.
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·
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On June 15, 2009, the Issuer issued to Miko Consulting Group, Inc. 2,000,000 shares of Common Stock at par value for services rendered by Ms. Mikolaitis as a founder of the Issuer in February 2009. The Common Stock was not purchased by Miko Consulting Group for any additional amount of funds or other consideration.
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·
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On February 11, 2011, the Issuer granted Ms. Mikolaitis an award of 43,750 shares of Common Stock as consideration for her services as director of administration of the Issuer. The Common Stock was not purchased by Ms. Mikolaitis for any additional amount of funds or other consideration.
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·
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On May 15, 2011, the Issuer issued to Miko Consulting Group, Inc. 1,700,000 shares of Common Stock at par value for services rendered by Ms. Mikolaitis as a founder of the Issuer in 2009. The Common Stock was not purchased by Miko Consulting Group for any additional amount of funds or other consideration.
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On January 16, 2013, the Issuer granted Ms. Mikolaitis stock options to purchase 100,000 shares of Common Stock as consideration for her services as director of administration of the Issuer. The stock options are currently exercisable at an exercise price of $2.09 per share, and expire on January 16, 2020. The stock options were not purchased by Ms. Mikolaitis for any additional amount of funds or other consideration.
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On October 14, 2014, the Issuer granted Ms. Mikolaitis stock options to purchase 75,000 shares of Common Stock as consideration for her services as director of administration of the Issuer. The stock options are currently exercisable at an exercise price of $2.50 per share, and expire on January 16, 2020. The stock options were not purchased by Ms. Mikolaitis for any additional amount of funds or other consideration.
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(a)
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The aggregate number and percentage of the class of securities identified pursuant to Item 1 beneficially owned by each Reporting Person is stated in Items 11 and 13 on the cover page(s) hereto.
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(b)
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Number of shares as to which each Reporting Person has:
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(i)
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sole power to vote or direct the vote:
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(ii)
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Shared power to vote or to direct the vote:
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(iii)
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sole power to dispose or to direct the disposition of:
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(iv)
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shared power to dispose or to direct the disposition of:
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(c)
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The Reporting Persons have not engaged in any transactions in the Common Stock of the Issuer during the past 60 days.
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(d)
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Not applicable.
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(e)
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Not applicable.
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Exhibit
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Description of Exhibit
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1
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2
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BioSig Technologies, Inc. 2012 Equity Incentive Plan (incorporated by reference to Exhibit 10.1 to the Form S-1 filed on July 22, 2013)
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3
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Amendment No. 1 to the BioSig Technologies, Inc. 2012 Equity Incentive Plan (incorporated by reference to Exhibit 10.27 to the Form S-1/A filed on March 28, 2014)
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4
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Amendment No. 2 to the BioSig Technologies, Inc. 2012 Equity Incentive Plan (incorporated by reference to Exhibit 99.3 to the Form S-8 filed on April 17, 2015)
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5
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Amendment No. 3 to the BioSig Technologies, Inc. 2012 Equity Incentive Plan (incorporated by reference to Exhibit 10.41 to the Form S-1 filed on May 20, 2015)
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6
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Form of Stock Option Agreement under the 2012 Equity Incentive Plan (incorporated by reference to Exhibit 10.2 to the Form S-1 filed on July 22, 2013)
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Exhibit
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Description of Exhibit
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1
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2
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BioSig Technologies, Inc. 2012 Equity Incentive Plan (incorporated by reference to Exhibit 10.1 to the Form S-1 filed on July 22, 2013)
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3
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Amendment No. 1 to the BioSig Technologies, Inc. 2012 Equity Incentive Plan (incorporated by reference to Exhibit 10.27 to the Form S-1/A filed on March 28, 2014)
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4
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Amendment No. 2 to the BioSig Technologies, Inc. 2012 Equity Incentive Plan (incorporated by reference to Exhibit 99.3 to the Form S-8 filed on April 17, 2015)
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5
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Amendment No. 3 to the BioSig Technologies, Inc. 2012 Equity Incentive Plan (incorporated by reference to Exhibit 10.41 to the Form S-1 filed on May 20, 2015)
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