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This document is filed to report changes in the beneficial ownership of securities by individuals who are subject to Section 16 of the Securities Exchange Act of 1934.

How to fill out statement of changes in

How to fill out Statement of Changes in Beneficial Ownership of Securities

1. Obtain the Statement of Changes in Beneficial Ownership form, commonly known as Form 4.
2. Fill out the basic identifying information, including the name and address of the reporting person.
3. Indicate your relationship to the issuer (company) whose securities you are reporting.
4. Specify the date of the transaction and the date of the original ownership report (if applicable).
5. Describe the nature of the ownership change (e.g., purchase, sale, or other transaction).
6. Provide details about the securities involved, including the number of shares and their price per share.
7. Include any relevant information regarding derivatives, options, or other types of securities.
8. Sign and date the form to certify the accuracy of the information provided.
9. Submit the completed form electronically or via mail, ensuring it meets the applicable filing deadlines.

Who needs Statement of Changes in Beneficial Ownership of Securities?

1. Individuals who are officers, directors, or beneficial owners of 10% or more of a registered class of equity securities of a company.
2. These individuals are required to report changes in their ownership to ensure transparency and compliance with securities regulations.

People Also Ask about

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 the statement of changes in beneficial ownership of securities?

Form 3 is a document that a company insider or major shareholder must file with the SEC. The information provided on the form is meant to disclose the holdings of directors, officers, and beneficial owners of registered companies and becomes public record.

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 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.

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 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]

For pdfFiller’s FAQs

What is Statement of Changes in Beneficial Ownership of Securities?

The Statement of Changes in Beneficial Ownership of Securities is a document that must be filed by certain individuals or entities to report any changes in ownership of securities and related financial interests in a company.

Who is required to file Statement of Changes in Beneficial Ownership of Securities?

Insiders of a company, such as officers, directors, and large shareholders, are typically required to file the Statement of Changes in Beneficial Ownership of Securities.

How to fill out Statement of Changes in Beneficial Ownership of Securities?

To fill out the Statement of Changes in Beneficial Ownership of Securities, individuals must provide details such as their name, the name of the company, the date of the transaction, the type of security involved, the amount of securities owned before and after the transaction, and the nature of the transaction.

What is the purpose of Statement of Changes in Beneficial Ownership of Securities?

The purpose of the Statement of Changes in Beneficial Ownership of Securities is to provide transparency in the trading activities of insiders and to prevent insider trading by ensuring that all investors have access to information regarding significant changes in ownership.

What information must be reported on Statement of Changes in Beneficial Ownership of Securities?

The information that must be reported includes the insider's name, the relationship to the company, transaction date, number of shares transacted, price per share, the nature of the ownership (direct or indirect), and any options or other derivative securities.