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Form 5 Annual Statement Of Beneficial Ownership Of Securities (General Instructions) (SEC2270) 5 - Official Federal Forms
| Form 5 Annual Statement Of Beneficial Ownership Of Securities (General Instructions) (SEC2270) Form. This is a national form and can be used in Securities And Exchange Commission . |
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You may not send a completed printout of this form to the SEC to satisfy a filing obligation. You can only satisfy an SEC filing obligation by submitting the information required by this form to the SEC in electronic format online at https://www.onlineforms.edgarfiling.sec.gov. UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 5 ANNUAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES The Commission is authorized to solicit the information required by this Form pursuant to Sections 16(a) and 23(a) of the Securities Exchange Act of 1934, and Sections 30(h) and 38 of the Investment Company Act of 1940, and the rules and regulations thereunder. Disclosure of information specified on this Form is mandatory. The information will be used for the primary purpose of disclosing the transactions and holdings of directors, officers, and beneficial owners of registered companies. Information disclosed will be a matter of public record and available for inspection by members of the public. The Commission can use it in investigations or litigation involving the federal securities laws or other civil, criminal, or regulatory statutes or provisions, as well as for referral to other governmental authorities and self-regulatory organizations. Failure to disclose required information may result in civil or criminal action against persons involved for violations of the Federal securities laws and rules. Persons who 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. SEC 2270 (11-11) American LegalNet, Inc. www.FormsWorkFlow.com GENERAL INSTRUCTIONS 1. When Form Must Be Filed (a) This Form must be filed on or before the 45th day after the end of the issuer's fiscal year in accordance with Rule 16a-3(f). This Form and any amendment is deemed filed with the Commission or the Exchange on the date it is received by the Commission or Exchange, respectively. See, however, Rule 16a-3(h) regarding delivery to a third party business that guarantees delivery of the filing no later than the specified due date. (b) A reporting person no longer subject to Section 16 of the Securities Exchange Act of 1934 ("Exchange Act") must check the exit box appearing on this Form. Transactions and holdings previously reported are not required to be included on this Form. Form 4 or Form 5 obligations may continue to be applicable. See Rule 16a-3(f); see also Rule 16a-2(b)(transactions after termination of insider status). (c) A separate Form shall be filed to reflect beneficial ownership of securities of each issuer. (d) If a reporting person is not an officer, director, or ten percent holder, the person should check "other" in Item 6 (Relationship of Reporting Person to Issuer) and describe the reason for reporting status in the space provided. 2. Where Form Must be Filed (a) A reporting person must file this Form in electronic format via the Commission's Electronic Data Gathering Analysis and Retrieval System (EDGAR) in accordance with EDGAR rules set forth in Regulation S-T (17 CFR Part 232), except that a filing person that has obtained a hardship exception under Regulation S-T Rule 202 (17 CFR 232.202) may file the Form in paper. For assistance with technical questions about EDGAR or to request an access code, call the EDGAR Filer Support Office at (202) 942-8900. For assistance with questions about the EDGAR rules, call the Office of EDGAR and Information Analysis at (202) 942-2940. (b) At the time this Form or any amendment is filed with the Commission, file one copy with each Exchange on which any class of securities of the issuer is registered. If the issuer has designated a single Exchange to receive Section 16 filings, the copy shall be filed with that Exchange only. (c) Any person required to file this Form or amendment shall, not later than the time the Form or amendment is transmitted for filing with the Commission, send or deliver a copy to the person designated by the issuer to receive the copy or, if no person is so designated, the issuer's corporate secretary (or person performing similar functions) in accordance with Rule 16a-3(e). NOTE: If filing pursuant to a hardship exception under Regulation S-T Rule 202 (17 CFR 232.202), file three copies of this Form or any amendment, at least one of which is signed, with the Securities and Exchange Commission, 450 5th Street, NW, Washington, DC 20549. (Acknowledgement of receipt by the Commission may be obtained by enclosing a self-addressed stamped postcard identifying the Form or amendment filed.) 3. Class of Securities Reported (a) (i) Persons reporting pursuant to Section 16(a) of the Exchange Act shall include information as to transactions and holdings required to be reported in any class of equity securities of the issuer and the beneficial ownership at the end of the year of that class of equity securities, even though one or more of such classes may not be registered pursuant to Section 12 of the Exchange Act. (ii) (iii) Removed and Reserved. Persons reporting pursuant to Section 30(h) of the Investment Company Act of 1940 shall include transactions and holdings required to be reported in any class of securities (equity or debt) of the registered closed-end investment company (other than "short-term paper as defined in Section 2(a)(38) of the Investment Company Act) and the beneficial ownership at the end of the year of that class of securities. (b) The title of the security should clearly identify the class, even if the issuer has only one class of securities outstanding; for example, "Common Stock," "Class A Common Stock," "Class B Convertible Preferred Stock," etc. 2 American LegalNet, Inc. www.FormsWorkFlow.com (c) The amount of securities beneficially owned should state the face amount of debt securities (U.S. Dollars) or the number of equity securities, whichever is appropriate. 4. Transactions and Holdings Required to be Reported (a) General Requirements (i) Pursuant to Rule 16a-3(f), if not previously reported, the following transactions, and total beneficial ownershipas of the end of the issuer's fiscal year (or an earlier date applicable to a person ceasing to be an insider during the fiscal year) for any class of securities in which a transaction is reported, shall be reported: (A) any transaction during the issuer's most recent fiscal year that was exempt from Section 16(b) of the Act, except: (1) any transaction exemp
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