FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 02/09/2017 |
3. Issuer Name and Ticker or Trading Symbol
Clipper Realty Inc. [ CLPR ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 991,598 | I | By Trapeze Inc., a Delaware corporation |
Common Stock | 61,482 | I | By Trapeze D Holdings LLC, a Delaware limited liability company |
Common Stock | 66,335 | I | By ECL Holdings LLC, a Delaware limited liability company |
Special Voting Stock(1) | 4,464,692 | I | By Trapeze Inc., a Delaware corporation |
Special Voting Stock(1) | 1,362,039 | I | By Trapeze D Holdings LLC, a Delaware limited liability company |
Special Voting Stock(1) | 1,469,548 | I | By ECL Holdings LLC, a Delaware limited liability company |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Class B LLC Units(1) | (1) | (1) | Common Stock | 4,464,692 | $0 | I | By Trapeze Inc., a Delaware corporation |
Class B LLC Units(1) | (1) | (1) | Common Stock | 1,362,039 | $0 | I | By Trapeze D Holdings LLC, a Delaware limited liability company |
Class B LLC Units(1) | (1) | (1) | Common Stock | 1,469,548 | $0 | I | By ECL Holdings LLC, a Delaware limited liability company |
Long Term Incentive Plan Units(2) | 03/15/2016 | (2) | Common Stock | 9,916 | $0 | D | |
Long Term Incentive Plan Units(2) | 09/30/2016 | (2) | Common Stock | 2,778 | $0 | D | |
Long Term Incentive Plan Units(2) | 12/31/2016 | (2) | Common Stock | 2,778 | $0 | D | |
Long Term Incentive Plan Units(2) | 01/02/2018 | (2) | Common Stock | 100,000 | $0 | D |
Explanation of Responses: |
1. Special Voting Stock is a class of stock of the Issuer that does not share in any distribution to stockholders of the Issuer, but gives the holder thereof one vote per share on all matters on which the Issuer's holders of Common Stock vote, subject to certain exceptions. Class B LLC Units are units of certain limited liability companies that are indirect subsidiaries of the Issuer. Each Class B LLC Unit is exchangeable, together with one share of Special Voting Stock for an amount of cash equal to the fair market value of a share of Common Stock of the Issuer or, at the election of the Issuer, one share of Common Stock. The right to exchange Class B LLC Units, together with Special Voting Stock, does not have an expiration date. |
2. Represents long term incentive plan units ("LTIP Units"), a class of units of Clipper Realty L.P. (the "Operating Partnership"), a direct subsidiary of the Issuer. The LTIP Units are convertible by the reporting person, upon vesting, into an equivalent number of units of limited partnership interests ("OP Units") of the Operating Partnership. Each OP Unit is redeemable at the request of the holder for cash in an amount equal to the price of a share of Common Stock of the Issuer or, at the election of the Issuer, one share of Common Stock. The rights to convert LTIP units into OP Units and redeem OP Units do not have expiration dates. |
/s/ Sam Levinson | 02/08/2017 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |