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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 | ||||||||
Warrants to Purchase Shares of Common Stock | $ 0.1 | 06/30/2019 | A | 250,000 (1) | 06/30/2019 | 06/30/2022 | Common Stock | 250,000 | (1) | 250,000 | D | ||||
Warrants to Purchase Shares of Common Stock | $ 0.1 | 09/30/2019 | A | 250,000 (1) | 09/30/2019 | 09/30/2022 | Common Stock | 250,000 | (1) | 250,000 | D | ||||
Warrants to Purchase Shares of Common Stock | $ 0.1 | 09/30/2019 | A | 106,500 (2) | 09/30/2019 | 09/30/2022 | Common Stock | 106,500 | (2) | 356,500 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Burns James Edward 3322 DESERT INN MONTGOMERY, TX 77356 |
X | Chairman |
/s/ James E. Burns | 10/15/2019 | |
**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) | Mr. Burns receives warrants to purchase 250,000 shares of common stock per quarter as part of his 2019 compensation package for his service on the Board; warrants are exercisable for a 36-month period. Exempt pursuant to Rule 16b3(d). |
(2) | Granted to Mr. Burns in consideration for deferring his compensation as Chairman of the Board. Exempt pursuant to Rule 16b3(d). |