Form D Raw Data - Electronic Filing Depository

EFDID: 162031EFD: Raw Data

Issuer: Epica International, Inc. (0001627509) - D/A

Accession: 0001144204-17-017213 () (EDGAR Files) (Form D)

Edgar Posted: Mar. 29, 2017
EFD Posted: Mar. 29, 2017

- < edgarSubmission >

< schemaVersion > X0707 </ schemaVersion >

< submissionType > D/A </ submissionType >

< testOrLive > LIVE </ testOrLive >

- < primaryIssuer >

< cik > 0001627509 </ cik >

< entityName > Epica International, Inc. </ entityName >

- < issuerAddress >

< street1 > 2753 CAMINO CAPISTRANO </ street1 >

< street2 > SUITE A-101 </ street2 >

< city > SAN CLEMENTE </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92672 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 9492386323 </ issuerPhoneNumber >

< jurisdictionOfInc > NEVADA </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Corporation </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2013 </ value >

</ yearOfInc >

</ primaryIssuer >

- < relatedPersonsList >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Gregory </ firstName >

< lastName > Stoutenburgh </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2753 Camino Capistrano, Suite A-101 </ street1 >

< city > San Clemente </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92672 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Chief Executive Officer and Chairman </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Damiano </ firstName >

< lastName > Fortuna </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2753 Camino Capistrano, Suite A-101 </ street1 >

< city > San Clemente </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92672 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Eric </ firstName >

< lastName > Lindquist </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2753 Camino Capistrano, Suite A-101 </ street1 >

< city > San Clemente </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92672 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Chief Medical Officer </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Philip </ firstName >

< lastName > Warth </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2753 Camino Capistrano, Suite A-101 </ street1 >

< city > San Clemente </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92672 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Michael </ firstName >

< lastName > Fajardo </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2753 Camino Capistrano, Suite A-101 </ street1 >

< city > San Clemente </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92672 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Chief Financial Officer </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Renzo </ firstName >

< lastName > Valleggi </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2753 Camino Capistrano, Suite A-101 </ street1 >

< city > San Clemente </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92672 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Chief Technology Officer </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Thomas </ firstName >

< lastName > Grossman </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2753 Camino Capistrano, Suite A-101 </ street1 >

< city > San Clemente </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92672 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Jerry </ firstName >

< lastName > Sherlock </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2753 Camino Capistrano, Suite A-101 </ street1 >

< city > San Clemente </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92672 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Chief Operations Officer </ relationshipClarification >

</ relatedPersonInfo >

</ relatedPersonsList >

- < offeringData >

- < industryGroup >

< industryGroupType > Other Health Care </ industryGroupType >

</ industryGroup >

- < issuerSize >

< revenueRange > Decline to Disclose </ revenueRange >

</ issuerSize >

- < federalExemptionsExclusions >

< item > 06b </ item >

</ federalExemptionsExclusions >

- < typeOfFiling >

- < newOrAmendment >

< isAmendment > true </ isAmendment >

< previousAccessionNumber > 0001144204-16-091531 </ previousAccessionNumber >

</ newOrAmendment >

- < dateOfFirstSale >

< value > 2016-03-21 </ value >

</ dateOfFirstSale >

</ typeOfFiling >

- < durationOfOffering >

< moreThanOneYear > false </ moreThanOneYear >

</ durationOfOffering >

- < typesOfSecuritiesOffered >

< isEquityType > true </ isEquityType >

</ typesOfSecuritiesOffered >

- < businessCombinationTransaction >

< isBusinessCombinationTransaction > false </ isBusinessCombinationTransaction >

</ businessCombinationTransaction >

< minimumInvestmentAccepted > 9999 </ minimumInvestmentAccepted >

- < salesCompensationList >

- < recipient >

< recipientName > PHX Financial, Inc. </ recipientName >

< recipientCRDNumber > 144403 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 100 WALL STREET, 10TH FLOOR </ street1 >

< city > NEW YORK </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10005 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< value > All States </ value >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

</ salesCompensationList >

- < offeringSalesAmounts >

< totalOfferingAmount > 3000000 </ totalOfferingAmount >

< totalAmountSold > 726077 </ totalAmountSold >

< totalRemaining > 2273923 </ totalRemaining >

< clarificationOfResponse > The offering closed on August 10, 2016. </ clarificationOfResponse >

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< totalNumberAlreadyInvested > 3 </ totalNumberAlreadyInvested >

</ investors >

- < salesCommissionsFindersFees >

- < salesCommissions >

< dollarAmount > 390000 </ dollarAmount >

< isEstimate > true </ isEstimate >

</ salesCommissions >

- < findersFees >

< dollarAmount > 0 </ dollarAmount >

</ findersFees >

< clarificationOfResponse > PHX will receive a cash commission and a non-accountable expense equal to 10% and 3%, respectively, of the aggregate gross proceeds. PHX will also receive warrants to purchase shares of common stock equal to 10% of the total number of shares issued. </ clarificationOfResponse >

</ salesCommissionsFindersFees >

- < useOfProceeds >

- < grossProceedsUsed >

< dollarAmount > 0 </ dollarAmount >

</ grossProceedsUsed >

< clarificationOfResponse />

</ useOfProceeds >

- < signatureBlock >

< authorizedRepresentative > false </ authorizedRepresentative >

- < signature >

< issuerName > Epica International, Inc. </ issuerName >

< signatureName > /s/ Gregory Stoutenburgh </ signatureName >

< nameOfSigner > Gregory Stoutenburgh </ nameOfSigner >

< signatureTitle > CEO and Chairman </ signatureTitle >

< signatureDate > 2016-03-30 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >