UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 144
NOTICE OF PROPOSED SALE OF SECURITIES
PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933
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OMB APPROVAL
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OMB Number: 3235-0101
Expires: April 30, 2014 Estimated average burden
hours per response ........... 2.00
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SEC USE ONLY
DOCUMENT SEQUENCE NO.
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ATTENTION: Transmit for filing 3 copies of this form concurrently with either placing an order with a broker to execute sale
or executing a sale directly with a market maker.
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CUSIP NUMBER
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1 (a) NAME OF ISSUER (Please type or print)
Dais Analytic Corporation
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(b) IRS IDENT. NO.
14-1760865
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(c) S.E.C. FILE NO.
000-53554
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WORK LOCATION
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1 (d) ADDRESS OF ISSUER
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STREET | CITY | STATE | ZIP CODE |
(e) TELEPHONE NO.
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11552 Prosperous Drive
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Odessa | Florida | 33556 |
AREA CODE
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NUMBER
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727
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375-8484 |
2 (a) NAME OF PERSON FOR WHOSE ACCOUNT THE
SECURITIES ARE TO BE SOLD
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(b) RELATIONSHIP TO
ISSUER
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(c) ADDRESS STREET | CITY | STATE | ZIP CODE | |
Leonard Samuels
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10% holder | 1011 Centennial Road | Penn Valley | PA | 19072 | |
3 (a)
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(b)
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SEC USE ONLY
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(c)
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(d)
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(e)
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(f)
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(g)
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Title of the
Class of
Securities
To Be Sold
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Name and Address of Each Broker Through Whom the Securities are to be Offered or Each Market Maker who is Acquiring the Securities
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Broker-Dealer
File Number
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Number of Shares
or Other Units
To Be Sold
(See instr. 3(c))
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Aggregate
Market
Value
(See instr. 3(d))
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Number of Shares
or Other Units Outstanding
(See instr. 3(e))
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Approximate
Date of Sale
(See instr. 3(f))
(MO. DAY YR.)
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Name of Each
Securities
Exchange
(See instr. 3(g))
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Common |
Eric Duncan
518 17th Street #1215, Denver CO 80202 |
950,000
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237,500
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101,109,034
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4/10/2014
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1
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(a)
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Name of issuer
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3 .
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(a)
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Title of the class of securities to be sold
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(b)
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Issuer’s I.R.S. Identification Number
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(b)
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Name and address of each broker through whom the securities are intended to be sold
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(c)
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Issuer’s S.E.C. file number, if any
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(c)
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Number of shares or other units to be sold (if debt securities, give the aggregate face amount)
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(d)
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Issuer’s address, including zip code
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(d)
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Aggregate market value of the securities to be sold as of a specified date within 10 days prior to the filing of this notice
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(e)
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Issuer’s telephone number, including area code
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(e)
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Number of shares or other units of the class outstanding, or if debt securities the face amount thereof outstanding, as shown by the most recent report or statement published by the issuer
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2 .
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(a) |
Name of person for whose account the securities are to be sold
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(f)
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Approximate date on which the securities are to be sold
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(b)
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Such person’s relationship to the issuer (e.g., officer, director, 10%
stockholder, or member of immediate family of any of the foregoing)
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(g)
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Name of each securities exchange, if any, on which the securities are intended to be sold
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(c)
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Such person’s address, including zip code
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Potential persons who are to respond to the collection of information contained in this form are
not required to respond unless the form displays a currently valid OMB control number.
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Title of
the Class
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Date you
Acquired
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Nature of Acquisition Transaction
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Name of Person from Whom Acquired
(If gift, also give date donor acquired)
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Amount of
Securities Acquired
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Date of
Payment
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Nature of Payment
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Common
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5/12/2011
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Direct Purchase from company via conversion of promissory note and interest (note not a convertible note, price negotiated at time of conversion)
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Purchase from Dais Analytic (all)
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2,667,503
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May 12, 2011
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693,550.78 includes principal and interest of promissory note (principal originally 620,000 dollars)
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INSTRUCTIONS:
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If the securities were purchased and full payment therefor was not made in cash at the time of purchase, explain in the table or in a note thereto the nature of the consideration given. If the consideration consisted of any note or other obligation, or if payment was made in installments describe the arrangement and state when the note or other obligation was discharged in full or the last installment paid.
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Name and Address of Seller
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Title of Securities Sold
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Date of Sale
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Amount of
Securities Sold
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Gross Proceeds
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Leonard Samuels, 1011 Centennial Road Penn Valley
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None |
None
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None | None |
INSTRUCTIONS:
See the definition of “person” in paragraph (a) of Rule 144. Information is to be given not only as to the person for whose account the securities are to be sold but also as to all other persons included in that definition. In addition, information shall be given as to sales by all persons whose sales are required by paragraph (e) of Rule 144 to be aggregated with sales for the account of the person filing this notice.
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ATTENTION:
The person for whose account the securities to which this notice relates are to be sold hereby represents by signing this notice that he does not know any material adverse information in regard to the current and prospective operations of the Issuer of the securities to be sold which has not been publicly disclosed. If such person has adopted a written trading plan or given trading instructions to satisfy Rule 10b5-1 under the Exchange Act, by signing the form and indicating the date that the plan was adopted or the instruction given, that person makes such representation as of the plan adoption or instruction date.
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April 11, 2014 |
/s/ Leonard Samuels
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DATE OF NOTICE |
(SIGNATURE)
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DATE OF PLAN ADOPTION OR GIVING OF INSTRUCTION,
IF RELYING ON RULE 10B5-1
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The notice shall be signed by the person for whose account the securities are to be sold. At least one
copy of the notice shall be manually signed. Any copies not manually signed shall bear typed or printed signatures.
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ATTENTION: Intentional misstatements or omission of facts constitute Federal Criminal Violations (See 18 U.S.C. 1001)
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