Craft Brew Alliance, Inc. |
(Name of Issuer) |
Common Stock, Par Value $0.005 Per Share |
(Title of Class of Securities) |
224122 10 1 |
(CUSIP Number) |
March 25, 2019 |
(Date of Event which Requires Filing of this Statement) |
CUSIP No. | 224122 10 1 |
1 | Names of Reporting Persons W. Cameron Healy, Trustee and Sole Beneficiary of the Healy Family Trust | ||
2 | Check the appropriate box if a member of a Group (see instructions) | ||
(a) [ ] (b) [ ] | |||
3 | SEC Use Only | ||
4 | Citizenship or Place of Organization | ||
United States | |||
Number of Shares Beneficially Owned by Each Reporting Person With: | 5 | Sole Voting Power | |
0 | |||
6 | Shared Voting Power | ||
0 | |||
7 | Sole Dispositive Power | ||
0 | |||
8 | Shared Dispositive Power | ||
0 | |||
9 | Aggregate Amount Beneficially Owned by Each Reporting Person | ||
0 | |||
10 | Check box if the aggregate amount in row (9) excludes certain shares (See Instructions) | ||
[ ] | |||
11 | Percent of class represented by amount in row (9) | ||
Not applicable | |||
12 | Type of Reporting Person (See Instructions) | ||
IN |
(a) | Name of Person Filing: |
(b) | Address of Principal Business Office or, if None, Residence: |
(c) | Citizenship: |
(d) | Title and Class of Securities: |
(e) | CUSIP No.: |
Item 3. | Not applicable |
Item 4. | Ownership |
(a) | Amount Beneficially Owned: 0 |
Item 6. | Ownership of more than Five Percent on Behalf of Another Person. |
Item 7. | Identification and classification of the subsidiary which acquired the security being reported on by the parent holding company or control person. |
Item 8. | Identification and classification of members of the group. |
Item 9. | Notice of Dissolution of Group. |
Item 10. | Certifications. |
Dated: April 4, 2019 | _____________________________________________ Name:Edwin A. Smith Title:Attorney-in-Fact for W. Cameron Healy Duly authorized under Power of Attorney effective as of January 15, 2013. |
Attention: Intentional misstatements or omissions of fact constitute federal crime violations (see 18 U.S.C. 1001). |
(1) | execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer, director and/or owner of shares equal to or greater than 10% of the total outstanding shares of Craft Brew Alliance, Inc. (the “Company”), Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 as amended, and the rules and regulations thereunder; |
(2) | do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Forms 3, 4 or 5 and timely file such forms with the United States Securities and Exchange Commission and any stock exchange or similar authority; and |
(3) | take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion. |
/s/W. Cameron Healy |
Signature |
W. Cameron Healy, Trustee and Sole Beneficiary of the Healy Family Trust |
Print Name |