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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 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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Nyberg Mary J 4555 E. MAYO BLVD., UNIT 5202 PHOENIX, AZ 85050 |
X | |||
CDMJ Nyberg Family Trust 4555 E. MAYO BLVD., UNIT 5202 PHOENIX, AZ 85050 |
X |
/s/ Mary J. Nyberg | 08/14/2017 | |
**Signature of Reporting Person | Date | |
/s/ Mary J. Nyberg, trustee | 08/14/2017 | |
**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) | Following the sale of 146,780 shares reported herein, each of the reporting persons ceased to be a ten percent owner of the issuer on May 8, 2017. On July 21, 2017 and July 24, 2017, the reporting persons sold an aggregate of an additional 100,000 shares of the issuer's common stock. |
(2) | These shares are owned directly by the CDMJ Nyberg Family Trust, U/A/D June 9, 2005, a ten percent owner of the issuer, and indirectly by Mary J. Nyberg, as trustee of the trust. |