Form preview

Get the free - template

Get Form
FORM 4 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign template

Edit
Edit your template form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your template form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing template online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit template. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
With pdfFiller, it's always easy to deal with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

What is - Form?

The - is a document that can be completed and signed for specific reasons. Next, it is furnished to the relevant addressee in order to provide specific information of any kinds. The completion and signing is possible or using a suitable tool e. g. PDFfiller. These tools help to send in any PDF or Word file without printing out. It also allows you to customize its appearance depending on your requirements and put legit digital signature. Once you're good, you send the - to the recipient or several ones by mail or fax. PDFfiller includes a feature and options that make your blank printable. It includes a variety of settings for printing out. It doesn't matter how you will send a form after filling it out - in hard copy or by email - it will always look professional and organized. To not to create a new document from the beginning every time, turn the original document into a template. Later, you will have a customizable sample.

Instructions for the form -

Once you're ready to start submitting the - .doc form, you have to make certain that all the required information is prepared. This very part is highly significant, as far as mistakes may result in undesired consequences. It's actually irritating and time-consuming to re-submit forcedly an entire template, not to mention penalties came from blown deadlines. To handle the figures requires a lot of attention. At first sight, there’s nothing challenging about this. However, it doesn't take much to make an error. Experts recommend to record all required information and get it separately in a file. When you have a template, you can easily export that data from the document. Anyway, it's up to you how far can you go to provide actual and valid information. Doublecheck the information in your - form when filling out all required fields. You can use the editing tool in order to correct all mistakes if there remains any.

How to fill out -

In order to start completing the form -, you'll need a blank. If you use PDFfiller for completion and submitting, you can find it in a few ways:

  • Look for the - form in PDFfiller’s library.
  • Upload the available template via your device in Word or PDF format.
  • Create the document to meet your specific purposes in PDF creator tool adding all necessary fields in the editor.

Whatever option you prefer, you will get all the editing tools under your belt. The difference is, the form from the library contains the required fillable fields, and in the rest two options, you will have to add them yourself. But yet, it is quite easy and makes your template really convenient to fill out. These fields can be easily placed on the pages, you can remove them too. There are many types of them depending on their functions, whether you are typing in text, date, or place checkmarks. There is also a signature field for cases when you want the writable document to be signed by others. You can sign it yourself with the help of the signing feature. Upon the completion, all you've left to do is press Done and pass to the submission of the form.

Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
57 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Completing and signing template online is easy with pdfFiller. It enables you to edit original PDF content, highlight, blackout, erase and type text anywhere on a page, legally eSign your form, and much more. Create your free account and manage professional documents on the web.
Use pdfFiller's Gmail add-on to upload, type, or draw a signature. Your template and other papers may be signed using pdfFiller. Register for a free account to preserve signed papers and signatures.
You can make any changes to PDF files, such as template, with the help of the pdfFiller mobile app for Android. Edit, sign, and send documents right from your mobile device. Install the app and streamline your document management wherever you are.
Fill out your template online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.