SEC 1147 Form 144

Form 144 - Notice of Proposed Sale of Securities Pursuant to Rule 144 under the Securities Act of 1933

form144.07-31-2023

OMB: 3235-0101

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

OMB APPROVAL
OMB Number: 3235-0101
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July 31, 2023
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FORM 144

SEC USE ONLY
DOCUMENT SEQUENCE NO.

NOTICE OF PROPOSED SALE OF SECURITIES
PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933
ATTENTION: This form must be filed in electronic format by means of the Commission’s Electronic Data Gathering, Analysis, and
Retrieval system (EDGAR) in accordance with the EDGAR rules set forth in Regulation S-T (17 CFR part 232), except that where the issuer of
the securities is not subject to the reporting requirements of section 13 or 15(d) of the Exchange Act, this form must be filed in accordance with
Securities Act Rule 144(h)(2). For assistance with EDGAR issues, please consult the EDGAR- Information for Filers webpage on SEC.gov.
1 (a)	NAME	OF	ISSUER	(Please type or print)

1 (c) ADDRESS 	OF 	ISSUER	

	

	

	

																	STREET	

	

2 (a) NAME	OF	PERSON	FOR	WHOSE	ACCOUNT	THE	SECURITIES	
									ARE	TO	BE	SOLD			
	
	
	
																		 	

	

	

CITY	

	

WORK LOCATION

(b) S.E.C.	 FILE	 NO.

	

	

(b) 	RELATIONSHIP	TO								
																				ISSUER

CUSIP NUMBER

																		STATE	

	

										ZIP	CODE					(d TELEPHONE NO.
	
area 	code
number

																																										

	 	

									

	

INSTRUCTION: The filer should contact the issuer to obtain the S.E.C. File Number.
3 (a)

Title of the
Class of
Securities
To Be Sold

INSTRUCTIONS:
1.
	
	
	
	
2.
	
	
	

(a)
(b)
(c)
(d)

SEC USE ONLY

(b)
Name and Address of Each Broker Through Whom the
Securities are to be Offered or Each Market Maker
who is Acquiring the Securities

Name of issuer
Issuer’s	S.E.C.	 file number, 	if any
	 including
	
	 	 code
Issuer’s	address,
zip
	 number,	 including
	
Issuer’s	telephone
area code
	
	
	
	
	
(a)	 Name of person for whose account the securities are to be sold
	 	
	 	
	to the issuer
	 	 (e.g., officer,
	 	 director,
	 	 10%
(b) Such person’s
relationship
	
	 	
	
	of any 	of the foregoing)
	
stockholder,
or	 member of	 immediate
family
	
	 	
	 	
	
	 	 	 	 	
	
	
	
	 	

Broker-Dealer
File Number

3.	 (a)	
	 (b)	
	 (c)	
	 (d)	
	 (e)	
	 	
	 (f)	
	 (g)	

(c)
Number of Shares
or Other Units
To Be Sold
(See instr. 3(c))

(d)

Aggregate
Market
Value
(See instr. 3(d))

(e)
Number of Shares
or Other Units
Outstanding
(See instr. 3(e))

(f)

Approximate
Date of Sale

(g)

(See instr. 3(f))
(MO. DAY YR.)

Name of Each
Securities
Exchange
(See instr. 3(g))

Title	of	the	class	of	securities	to	be	sold
Name	and	address	of	each	broker	through	whom	the	securities	are	intended	to	be	sold
Number	of	shares	or	other	units	to	be	sold	(if	debt	securities,	give	the	aggregate	face	amount)
Aggregate	market	value	of	the	securities	to	be	sold	as	of	a	specified	date	within	10	days	prior	to	the	filing	of	this	notice
Number	of	shares	or	other	units	of	the	class	outstanding,	or	if	debt	securities	the	face	amount	thereof	outstanding,	as	shown
by	the	most	recent	report	or	statement	published	by	the	issuer
Approximate	date	on	which	the	securities	are	to	be	sold
Name	of	each	securities	exchange,	if	any,	on	which	the	securities	are	intended	to	be	sold

Potential persons who are to respond to the collection of information contained in this form are not required to respond
unless the form displays a currently valid OMB control number.

SEC1147 (07-22)

TABLE I –– SECURITIES TO BE SOLD

Furnish the following information with respect to the acquisition of the securities to be sold
and with respect to the payment of all or any part of the purchase price or other consideration therefor:
Title	of
the	Class

Date	you
Acquired

INSTRUCTIONS:

	

Nature	of	Acquisition	Transaction

Name	of	Person	from	Whom	Acquired
(If gift, also give date donor acquired)

Amount of
Securities	Acquired

Date of
Payment

Nature	of	Payment

If	the	securities	were	purchased	and	full	payment	therefor	was	not	made	in	cash	at	the	time	of	
purchase,	explain	in	the	table	or	in	a	note	thereto	the	nature	of	the	consideration	given.		If	the	
consideration	consisted	of	any	note	or	other	obligation,	or	if	payment	was	made	in	installments	
describe	the	arrangement	and	state	when	the	note	or	other	obligation	was	discharged	in	full	
or	the	last	installment	paid.

TABLE II –– SECURITIES SOLD DURING THE PAST 3 MONTHS

Furnish the following information as to all securities of the issuer sold during the past 3 months by the person for whose account the securities are to be sold.
Name	and	Address	of	Seller

Title	of	Securities	Sold

Date	of	Sale

Amount of
Securities	Sold

Gross	Proceeds

REMARKS:

INSTRUCTIONS:

See the defnition of “person” in paragraph (a) of Rule 144. Information is to be given not only
as to the person for whose account the securities are to be sold but also as to all other persons
included in that defnition. In addition, information shall be given as to sales by all personswhose
sales are required by paragraph (e) of Rule 144 to be aggregated with sales for the account of the
person fling this notic e.

DATE	OF	NOTICE
DATE	OF	PLAN	ADOPTION	OR	GIVING	OF	INSTRUCTION,	IF	RELYING	ON	RULE	
10B5-1

ATTENTION:

The person for whose account the securities to which this notice relates are to be sold hereby represents by signing
this notice that he does not know any material adverse information in regard to the current and prospective
operations of the Issuer of the securities to be sold which has not been publicly disclosed. If such person has
adopted a written trading plan or given trading instructions to satisfy Rule 10b5-1 under the Exchange Act, by
signing the form and indicating the date that the plan was adopted or the instruction given, that person makes
such representation as of the plan adoption or instruction date.
(SIGNATURE)

The notice shall be signed by the person for whose account the securities are to be sold. At least one copy of the notice shall be manually signed.
Any copies not manually signed shall bear typed or printed signatures.

ATTENTION: Intentional misstatements or omission of facts constitute Federal Criminal Violations (See 18 U.S.C. 1001)
SEC1147 (09-22)


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