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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 | ||||||||
Warrants | $ 6.9 | 06/11/2014 | J(1) | 233,750 | 06/11/2014(2) | 06/11/2020 | Common Stock | 233,750 | $ 0 | 75,000 (3) | I | By Signature Group Holdings, LLC | |||
Warrants | $ 6.9 | 06/11/2014 | J(1) | 233,750 | 06/11/2014(2) | 06/11/2020 | Common Stock | 233,750 | $ 0 | 233,750 | I | By the Ross Family Trust | |||
Warrants | $ 6.9 | 06/11/2014 | J(4) | 10,000 | 06/11/2014(2) | 06/11/2020 | Common Stock | 10,000 | $ 0 | 65,000 (3) | I | By Signature Group Holdings, LLC |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Ross Kyle 15301 VENTURA BLVD SUITE 400 SHERMAN OAKS, CA 91403 |
Executive VP & CFO |
/s/ Kyle Ross | 06/12/2014 | |
**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) | On June 11, 2014 Signature Group Holdings, LLC, of which Mr. Ross is a manager and a member, assigned 233,750 warrants to the Ross Family Trust. These warrants were originally issued on June 11, 2010, as previously reported in the Form 3 filed with the SEC by Mr. Ross on July 13, 2010. |
(2) | As previously reported, the final installment of warrants vested on June 11, 2014. All such warrants are now exerciseable. |
(3) | Mr. Ross disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein, if any, and this report shall not be deemed an admission that Mr. Ross is the beneficial owner of the shares for purposes of Section 16 of the Securities and Exchange Act of 1934 or for any other purpose. |
(4) | On June 11, 2014 Signature Group Holdings, LLC, of which Mr. Ross is a manager and a member, assigned 10,000 warrants beneficially owned by Mr. Ross to an unrelated third-party. |
Remarks: On October 15, 2013, the Company effected a one-for-ten reverse split of its common stock (the "Reverse Split"), as reported in the Company's Current Report on Form 8-K, as filed with the Securities and Exchange Commission on October 15, 2013. The share amounts and exercise prices reported in this Form 4, as well as the disclosure in the footnotes to this Form 4, have been adjusted to give effect to the Reverse Split. |