11/18/2024 | Press release | Distributed by Public on 11/18/2024 18:31
FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
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 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: 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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DEROSE ROBERT P.O. BOX 8167 RANCHO SANTA FE, CA 92067 |
X | |||
deRose Susan POB 8167 RANCHO SANTA FE, CA 92067 |
X | |||
Robert D. deRose & Susan deRose Family Trust DTD 11/18/1986 POB 8167 RANCHO SANTA FE, CA 92067 |
X |
/s/ Robert deRose | 11/18/2024 |
**Signature of Reporting Person | Date |
/s/ Susan deRose | 11/18/2024 |
**Signature of Reporting Person | Date |
/s/ Robert deRose as Co-Trustee of the Robert D. deRose & Susan deRose Family Trust DTD 11/18/1986 | 11/18/2024 |
**Signature of Reporting Person | Date |
/s/ Susan deRose as Co-Trustee of the Robert D. deRose & Susan deRose Family Trust DTD 11/18/1986 | 11/18/2024 |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | These shares are owned directly by the Robert D. deRose & Susan deRose Family Trust DTD 11/18/1986 and indirectly by Robert deRose and Susan deRose as co-trustees of the trust. |
(2) | Robert deRose and Susan deRose are ten percent owners of the Issuer. |
(3) | These shares are owned by the Susan deRose - IRA BDA. Robert deRose disclaims beneficial ownership in the securities held by the Susan deRose - IRA BDA except to the extent of any pecuniary interest therein. |
(4) | These shares are owned by the Robert deRose IRA. Susan deRose disclaims beneficial ownership in the securities held by the Robert deRose IRA except to the extent of any pecuniary interest therein. |
(5) | These shares are owned directly by the Allison M. deRose Trust DTD 5/29/1991 and indirectly by Robert deRose and Susan deRose as co-trustees of the trust. |