Cosmos Health (COSM) CEO swaps $175,000 debt for 353,321 shares

Rhea-AI Filing Summary

Cosmos Health Inc.'s Chief Executive Officer, director, and 10% owner Grigorios Siokas acquired additional common shares of the company through a debt exchange. On January 20, 2026, he obtained 353,321 shares of common stock at $0.4953 per share, described as the fair market value on that date. The shares were issued under a Debt Exchange Agreement in which $175,000 of debt the company owed to Mr. Siokas was exchanged for equity.

Following this transaction, Mr. Siokas beneficially owns 8,091,795 shares of Cosmos Health common stock in direct ownership. The filing characterizes the transaction with code "P" and notes that these shares are classified as Exchange Shares under the terms of the Debt Exchange Agreement.

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number:			3235-0287
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hours per response:			0.5

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

1. Name and Address of Reporting Person^*

Siokas Grigorios

(Last) (First) (Middle)

5 AG. GEORGIOU STR

PILEA

(Street)

THESSALONIKI J3 TK57001

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
Cosmos Health Inc. [ COSM ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	X	10% Owner
X	Officer (give title below)		Other (specify below)
	Chief Executive Officer

3. Date of Earliest Transaction (Month/Day/Year)
01/20/2026

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Stock, par value $.001	01/20/2026	01/20/2026	P(1)		353,321	A	$0.4953	8,091,795	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. Pursuant to a debt exchange agreement by and between Grigorios Siokas, the Company's CEO and the Company (the "Debt Exchange Agreement"), dated as of January 20, 2026, these shares are Exchange Shares (as defined in the Debt Exchange Agreement) being acquired by Mr. Siokas at the Exchange Rate (as defined in the Debt Exchange Agreement) of $0.4953 per share, the fair market value of the Common Stock on January 20, 2026, in exchange for a total amount of $175,000 in debt the Company owed to Mr. Siokas.

Remarks:

	/s/ Grigorios Siokas	01/21/2026
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
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FAQ

What insider transaction did COSM report for Grigorios Siokas?

Cosmos Health Inc. reported that CEO, director, and 10% owner Grigorios Siokas acquired 353,321 shares of common stock on January 20, 2026.

At what price did Grigorios Siokas acquire Cosmos Health (COSM) shares?

He acquired the 353,321 Cosmos Health common shares at $0.4953 per share, which is described as the fair market value of the stock on January 20, 2026.

How was the COSM insider share acquisition by Grigorios Siokas structured?

The acquisition occurred under a Debt Exchange Agreement, exchanging $175,000 of debt the company owed to Mr. Siokas for Exchange Shares at $0.4953 per share.

How many Cosmos Health (COSM) shares does Grigorios Siokas own after this transaction?

After the reported transaction, Grigorios Siokas beneficially owns 8,091,795 shares of Cosmos Health common stock in direct ownership.

What is the role of Grigorios Siokas at Cosmos Health Inc. (COSM)?

Grigorios Siokas is a director, a 10% owner, and serves as the company’s Chief Executive Officer.

What does the Form 4 transaction code "P" indicate for the COSM filing?

The transaction is coded as "P", indicating a purchase of common stock, with further detail in the footnote that it occurred via a Debt Exchange Agreement.