Information Collection Request
Form 5 - Annual Statement of Beneficial Ownership
ICR 202301-3235-011 · OMB 3235-0362 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3235-0362 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SEC 2270 Form 5 - Annual Statement of Beneficial Ownership |
Form | Modified | Repair queued |
 Rule10b5-1 Supporting Statement.Final.pdf |
Supporting Statement A | Uploaded 2023-01-10 | Repair queued |
| February 5, 2020 EDGAR PIA.pdf |
Supplementary Document | Uploaded 2023-01-10 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 34921 |  Form 5 - Annual Statement of Beneficial Ownership |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | SEC |
| OMB Control No | 3235-0362 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202006-3235-008 |
| Agency Tracking No | CF 270-323 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |