|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
|
| |||||||||||||||||||||||||||||
|
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 | |
Roberts Gary Jack Jr 13575 58TH STREET NORTH - #138 CLEARWATER, FL 33760 |
X |
/s/ Gary Jack Roberts, Jr. by Steven L. Sample, PoA | 01/26/2016 | |
**Signature of Reporting Person | Date | |
Attorney-in-Fact for Reporting Person | 01/26/2016 | |
**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) | Transactions were made on January 19, 20, and 21. Reporting person was delayed from filing this Form 4 due to delays by the Commission in issuing new Access Codes following conflict with name of another Reporting Person in the Form ID approval process. |
(2) | Shares were acquired in open market transactions on January 19, 20, and 21. Reporting person was delayed from filing this Form 4 due to delays by the Commission in issuing new Access Codes following conflict with name of another Reporting Person in the Form ID approval process. |
(3) | Reporting Person acquired 10,000 shares of the Common stock of Issuer in open market transactions on January 19, 20, and 21 at an average purchase price of $1.95 per share. |
(4) | Includes 102,000 shares Issued to Reporting Person as a result of an Asset Purchase Agreement of January 15, 2016 as reported on Form 8-K dated 1/19/2016 which is incorporated herein by reference. |