SCHEDULE 13D/A 0001660125 XXXXXXXX LIVE 5 Common Stock, Par Value $0.001 per share 04/21/2025 true 0001474167 221413206 Cosmos Health Inc.

5 AG. GEORGIOU STR., PILEA THESSALONIKI J3 TK57001

Elliot H. Lutzker 646-428-3210 605 Third Avenue New York NY 10158 0001660125 Grigorios Siokas PF N J3 6871267 0 6871267 0 6871267 N 22.9 IN Common Stock, Par Value $0.001 per share Cosmos Health Inc. 5 AG. GEORGIOU STR., PILEA THESSALONIKI J3 TK57001 Grigorios Siokas 5AG Georgiou Str., Pilea, Thessaloniki J3TK 57001 CEO, Cosmos Health, Inc., 5 Agiou Georgiou Str., Pilea, Thessaloniki, Greece J3TK 57001 No civil proceedings to be disclosed No criminal proceedings to be disclosed Greece Personal funds, none of which have been borrowed. There are no plans or proposals which the reporting person has which may result in any of the matters listed. 6,871,267 (22.9%) shares based on 29,328,240 shares issued and outstanding on May 23, 2025. Sole voting power and disposition power - 6,871,267 shares; includes 6,158,884 issued shares; 212,383 shares issuable upon exercise of Exchange Warrants issued on October 20, 2022, pursuant to a Warrant Exchange Agreement dated as of October 3, 2022; and 500,000 shares issuable upon exercise of Series B Common Warrants exercisable at $3.00 per share sold pursuant to Registration Statement No. 333-267917. On March 3, 2025, Mr. Siokas entered into a Debt Exchange Agreement pursuant to which he acquired 132,572 shares of common stock at an Exchange Rate of $0.4903 per share, or an aggregate of approximately $65,000, the fair market value of the Common Shares, in exchange for $65,000 the Company owed Mr. Siokas. On March 4, 2025, Mr. Siokas entered into a Debt Exchange Agreement pursuant to which he acquired 85,714 shares of common stock at an Exchange Rate of $0.525 per share, or an aggregate of approximately $45,000, the fair market value of the Common Shares, in exchange for $45,000 the Company owed Mr. Siokas. On April 21, 2025, Mr. Siokas entered into a Debt Exchange Agreement pursuant to which he acquired 654,912 shares of common stock at an Exchange Rate of $0.3176 per share, or an aggregate of approximately $208,000, the fair market value of the Common Shares, in exchange for $63,000 the Company owed Mr. Siokas. On April 22, 2025, Mr. Siokas entered into a Debt Exchange Agreement pursuant to which he acquired 208,000 shares of common stock at an Exchange Rate of $0.36 per share, or an aggregate of approximately $63,000, the fair market value of the Common Shares, in exchange for $63,000 the Company owed Mr. Siokas. On April 23, 2025, Mr. Siokas entered into a Debt Exchange Agreement to which he acquired 205,000 common shares at an Exchange Rate of $0.40 per share, or an aggregate of approximately $82,000 the fair market value of the Common Shares, in exchange for $82,000 the Company owed Mr. Siokas. On April 24, 2025, Mr. Siokas entered into a Debt Exchange Agreement to which he acquired 177,2324 common shares at an Exchange Rate of $0.4006 per share, or an aggregate of approximately $71,000 the fair market value of the Company Shares, in exchange for $71,000 the Company owed Mr. Siokas. On April 24, 2025, Mr. Siokas entered into a Debt Exchange Agreement to which he acquired 254,618 common shares at an Exchange Rate of $0.4006 per share, or an aggregate of approximately $102,000 the fair market value of the Company Shares, in exchange for $102,000 the Company owed Mr. Siokas. On May 19, 2025, Mr. Siokas entered into a Debt Exchange Agreement pursuant to which he acquired 79,254 common shares at an Exchange Rate of $0.429 per share, or in aggregate of approximately $34,000, the fair market rate of the Company Shares, in exchange for $34,000 the Company owed Mr. Siokas. On May 20, 2025, Mr. Siokas entered into a Debt Exchange Agreement to which he acquired 147,563 common shares at an Exchange Rate of $0.447 per share, or an aggregate of approximately $65,962 the fair market value of the Company Shares, in exchange for $65,962 the Company owed Mr. Siokas. On May 21, 2025, Mr. Siokas entered into a Debt Exchange Agreement pursuant to which he acquired 174,172 common shares at an Exchange Rate of $0.4708 per share, or an aggregate of approximately $82,000 the fair market value of the Company Shares, in exchange for $82,000 the Company owed Mr. Siokas. On May 22, 2025, Mr. Siokas entered into a Debt Exchange Agreement pursuant to which he acquired 141,825 common shares at an Exchange Rate of $0.4428 per share, or an aggregate of approximately $62,800 the fair market value of the Company Shares, in exchange for $62,800 the Company owed Mr. Siokas. On May 23, 2025, Mr. Siokas entered into a Debt Exchange Agreement pursuant to which he acquired 34,004 common shares at an Exchange Rate of $0.4475 per share, or an aggregate of approximately $15,217 the fair market value of the Company Shares, in exchange for $15,217 the Company owed Mr. Siokas. No person has the right to receive, or the power to direct the receipt of dividends from, or proceeds from, the sale of such securities. Not applicable. None None Grigorios Siokas /s/ Grigorios Siokas 05/27/2025