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This document is used for reporting changes in beneficial ownership of securities by company insiders, including directors and executives, in compliance with federal securities laws.
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How to fill out annual statement of changes

How to fill out Annual Statement of Changes in Beneficial Ownership of Securities
01
Gather the required information, including your name, address, and the title of the securities.
02
Determine the reporting period for the statement.
03
List all transactions involving beneficial ownership during the reporting period, including purchases, sales, and other changes.
04
Provide the date of each transaction and the number of securities involved.
05
Verify the accuracy of the information provided before submission.
06
Sign and date the form as required.
Who needs Annual Statement of Changes in Beneficial Ownership of Securities?
01
Individuals who are beneficial owners of securities, such as company executives, directors, and large shareholders.
02
Registered investment advisors and certain institutional investment managers.
03
Companies that are publicly traded and their insiders.
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People Also Ask about
What is a statement of changes in beneficial ownership of securities?
Form 4 is a statement to disclose changes in an insider's ownership of securities. The information is used for the purpose of disclosing the equity holdings of insiders of reporting companies.
Who fills out the Beneficial Ownership form?
Certain types of corporations, limited liability companies, and other similar entities created in or registered to do business in the United States must report information about their beneficial owners—the persons who ultimately own or control the company—to FinCEN as of Jan. 1, 2024.
What is a statement of beneficial ownership?
Form 3 – Initial Statement of Beneficial Ownership of Securities. Form 3 must be filed within 10 days of any individual or entity first becoming an insider. Form 3 includes the details of any equity securities of the public company that the insider beneficially owns at the time of becoming an insider.
What happens if I don't file a Beneficial Ownership information report?
Failure to file may become extremely costly, with civil penalties starting at $500 per day and criminal penalties of up to $10,000 and/or two years in prison.
What is a Beneficial Ownership statement?
Beneficial ownership information refers to identifying information about the individuals who directly or indirectly own or control a company. [Issued March 24, 2023]
What is an example of Beneficial Ownership?
A beneficial owner is someone who owns at least part of a property or other asset, even if its legal title is owned by someone else. That person can also vote on or otherwise influence decisions regarding transactions involving that asset or property. An example is a corporate shareholder.
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What is Annual Statement of Changes in Beneficial Ownership of Securities?
The Annual Statement of Changes in Beneficial Ownership of Securities is a regulatory filing that provides details about changes in ownership of securities by individuals who hold a significant stake in a company, typically for reporting to securities regulators.
Who is required to file Annual Statement of Changes in Beneficial Ownership of Securities?
Individuals who are considered insiders of a publicly traded company, such as officers, directors, and significant shareholders, are required to file the Annual Statement of Changes in Beneficial Ownership of Securities.
How to fill out Annual Statement of Changes in Beneficial Ownership of Securities?
To fill out the Annual Statement of Changes in Beneficial Ownership of Securities, the filer must provide information regarding their ownership changes, including the number of securities acquired or disposed of, dates of transactions, and the nature of the ownership.
What is the purpose of Annual Statement of Changes in Beneficial Ownership of Securities?
The purpose of the Annual Statement of Changes in Beneficial Ownership of Securities is to ensure transparency in the trading activities of company insiders and to provide investors with information regarding potential insider trading activities.
What information must be reported on Annual Statement of Changes in Beneficial Ownership of Securities?
The information that must be reported includes the name of the reporting person, relationship to the company, date of the transaction, amount of securities involved, and the price at which the transaction took place.
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