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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 | |
SINGLETON GROUP LLC 11661 SAN VICENTE BLVD SUITE 915 LOS ANGELES, CA 90049 |
X | |||
SINGLETON WILLIAM W 11661 SAN VICENTE BLVD SUITE 915 LOS ANGELES, CA 90049 |
X | |||
Mednick Christina Singleton 11661 SAN VICENTE BLVD SUITE 915 LOS ANGELES, CA 90049 |
X |
Donald E. Rugg, as manager of the Singleton Group LLC and Attorney-in-fact for William W. Singleton and Christina Singleton Mednick | 12/19/2008 | |
**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) | These shares are owned directly by the Singleton Group LLC. William W. Singleton and Christina Singleton Mednick, as trustees and beneficiaries of certain trusts holding membership interests in the Singleton Group LLC and as Managers of the Singleton Group LLC, have indirect interests in these shares through Singleton Group LLC. William W. Singleton and Christina Singleton Mednick are filing jointly with the Singleton Group LLC, but disclaim beneficial interest of the Untrin Inc. shares held by the Singleton Group LLC except to the extent of their respective pecuniary interest therein. |