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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who 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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ALTEP 2010 L.P. C/O AI ALTEP HOLDINGS, INC. 730 FIFTH AVENUE, 20TH FL NEW YORK, NY 10019 |
Affiliate of 10% Owner | |||
ALTEP 2011 L.P. C/O AI ALTEP HOLDINGS, INC. 730 FIFTH AVENUE, 20TH FL NEW YORK, NY 10019 |
Affiliate of 10% Owner |
/s/ Alejandro Moreno for Altep 2010 L.P. | 01/03/2018 | |
**Signature of Reporting Person | Date | |
/s/ Alejandro Moreno for Altep 2011 L.P. | 01/03/2018 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Reflects distribution of ordinary shares pursuant to an internal reorganization. |
(2) | The securities reported are held directly by Altep 2010 L.P. ("Altep 2010"). Each of the reporting persons (other than Altep 2010) disclaims beneficial ownership of these securities, and this Form shall not be construed as an admission that any such reporting person is the beneficial owner of any such securities. |
(3) | The securities reported are held directly by Altep 2011 L.P. ("Altep 2011"). Each of the reporting persons (other than Altep 2011) disclaims beneficial ownership of these securities, and this Form shall not be construed as an admission that any such reporting person is the beneficial owner of any such securities. |