0001104659-22-102755.txt : 20220923 0001104659-22-102755.hdr.sgml : 20220923 20220923193234 ACCESSION NUMBER: 0001104659-22-102755 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220922 FILED AS OF DATE: 20220923 DATE AS OF CHANGE: 20220923 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ZIPKIN LAURENCE S CENTRAL INDEX KEY: 0001166727 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41472 FILM NUMBER: 221263340 MAIL ADDRESS: STREET 1: 701 XENIA AVE S. STREET 2: SUITE 130 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Mill City Ventures III, Ltd CENTRAL INDEX KEY: 0001425355 STANDARD INDUSTRIAL CLASSIFICATION: SHORT-TERM BUSINESS CREDIT INSTITUTIONS [6153] IRS NUMBER: 900316651 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1907 WAYZATA BOULEVARD STREET 2: SUITE 205 CITY: WAYZATA STATE: MN ZIP: 55391 BUSINESS PHONE: (952) 479-1923 MAIL ADDRESS: STREET 1: 1907 WAYZATA BOULEVARD STREET 2: SUITE 205 CITY: WAYZATA STATE: MN ZIP: 55391 FORMER COMPANY: FORMER CONFORMED NAME: POKER MAGIC INC DATE OF NAME CHANGE: 20080129 4 1 tm2226582-1_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2022-09-22 0 0001425355 Mill City Ventures III, Ltd MCVT 0001166727 ZIPKIN LAURENCE S 10275 WAYZATA BOULEVARD, SUITE 100 MINNETONKA MN 55305 1 0 0 0 Common Stock 51859 D Common Stock 2022-09-22 4 A 0 4878 2.05 A 56737 D Of the reported amount, 6,667 common shares are subject to forfeiture pursuant to a restricted stock agreement with the issuer. Forfeiture restrictions on those 6,667 common shares lapse on January 24, 2023. Shares were acquired by the reporting person pursuant to a stock award made by the issuer, upon approval of the full Board of Directors and election of the reporting person, in lieu of regular cash compensation aggregating $10,000 payable for services as a director for the fiscal quarter ended September 30, 2022. The reported price is the closing market price of the common stock on the date of the stock award. /s/ Laurence S. Zipkin 2022-09-23