Get SEC Form 3 2015-2024

Onlineforms. edgarfiling. sec.gov. UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington D.C. 20549 Form 3 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Print or Type Responses 1. Over SEC 1473 11-11 FORM 3 continued 1. Title of Derivative Security Table II Derivative Securities Beneficially Owned e.g. puts calls warrants options convertible securities 2. Amount of Securities Beneficially Owned 3. Ownership 4. Nature of Indirect Beneficial Ownership Form Direct D or Indirect I Instr. 5 Reminder Report on a separate line for each class of securities beneficially owned directly or indirectly. Date Exercisable and Expiration Date 3. Title and Amount of Securities Underlying Derivative Security Exercisable Title Amount or Number of Shares 4. Conver- 5. Owner- 6. Nature of Indirect ship sion or Form of DerivPrice of ative DeriSecurity Security D or I Explanation of Responses Intentional misstatements or omissions of facts constitute Federal Criminal Violations. 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. Name and Address of Reporting Person Last First 2. Date of Event Requiring Statement Month/Day/Year Middle 3. Issuer Name and Ticker or Trading Symbol 4. Relationship of Reporting Person s to Issuer Check all applicable Director Officer give title below Street City 1. Title of Security Instr* 4 State Zip OMB APPROVAL OMB Number 3235-0104 Expires March 31 2015 Estimated average burden hours per response. 5 10 Owner Other specify below 5. If Amendment Date Original Filed Month/Day/ Year 6. Individual or Joint/Group Filing Check Applicable Line Form filed by One Reporting Person Table I Non-Derivative Securities Beneficially Owned 2. If the form is filed by more than one reporting person see Instruction 5 b v. Potential persons who are to 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. Date Exercisable and Expiration Date 3. Title and Amount of Securities Underlying Derivative Security Exercisable Title Amount or Number of Shares 4. Conver- 5. Owner- 6. Nature of Indirect ship sion or Form of DerivPrice of ative DeriSecurity Security D or I Explanation of Responses Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U*S*C. 1001 and 15 U*S*C. 78ff a. Signature of Reporting Person Note File three copies of this Form one of which must be manually signed* If space is insufficient See Instruction 6 for procedure. Name and Address of Reporting Person Last First 2. Date of Event Requiring Statement Month/Day/Year Middle 3. Issuer Name and Ticker or Trading Symbol 4. Relationship of Reporting Person s to Issuer Check all applicable Director Officer give title below Street City 1. Issuer Name and Ticker or Trading Symbol 4. Relationship of Reporting Person s to Issuer Check all applicable Director Officer give title below Street City 1. Title of Security Instr* 4 State Zip OMB APPROVAL OMB Number 3235-0104 Expires March 31 2015 Estimated average burden hours per response. .