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This document is filed to report changes in beneficial ownership of securities by reporting persons under 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, often referred to as Form 4.
2. Fill in the name of the reporting person in the designated field.
3. Provide the relationship of the reporting person to the issuer (e.g., officer, director, 10% owner).
4. Enter the issuer's name and the class of securities that are being reported.
5. Indicate the transaction date and the transaction code (purchase, sale, option exercise, etc.).
6. Report the amount of securities owned before the transaction and the amount after the transaction.
7. Sign and date the form to certify that the information is accurate.
8. File the completed form with the appropriate regulatory authority, typically the SEC, within the required timeframe.

Who needs Statement of Changes in Beneficial Ownership of Securities?

1. Individuals who are officers, directors, or significant shareholders (owning more than 10% of a class of equity securities) of a publicly traded company must file the Statement of Changes in Beneficial Ownership of Securities.

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 form that must be filed with the SEC, disclosing changes in the ownership of securities by individuals who are deemed to have beneficial ownership, such as insiders of a company.

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

Individuals who are considered insiders, such as executive officers, directors, and large shareholders (usually those owning more than 10% of a company's equity securities) are required to file this statement.

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

To fill out the form, individuals must provide their name, relationship to the issuer, details of the securities owned, changes in ownership (including purchases, sales, or other transactions), and any other required information as specified by the SEC.

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

The purpose of this statement is to promote transparency in securities transactions, ensuring that investors are informed about the trading activities of company insiders.

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

The statement must report information such as the name and address of the filer, their relationship to the company, the date of transaction, the amount of securities bought or sold, and the price of the transaction.