☐ |
Rule 13d-1(b)
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☐ |
Rule 13d-1(c)
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☒ |
Rule 13d-1(d)
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13G
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1
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NAMES OF REPORTING PERSONS
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Adam H. Dublin 2019 Family Trust
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)☐
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(b)☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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USA
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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5
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SOLE VOTING POWER
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0
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6
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SHARED VOTING POWER
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1,831,526
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7
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SOLE DISPOSITIVE POWER
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0
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8
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SHARED DISPOSITIVE POWER
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1,831,526
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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1,831,526
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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5.6% (1)
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12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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OO
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(1) |
Based on 32,592,237 shares of the Issuer’s Common Stock (as defined below) outstanding as of December 31, 2021, as provided by the Issuer.
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13G
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1
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NAMES OF REPORTING PERSONS
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Phyllis Dublin, not individually, but solely as co-trustee of the Adam H. Dublin 2019 Family Trust
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
|
||||
(a)☐
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|||||
(b)☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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USA
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||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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5
|
SOLE VOTING POWER
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0
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6
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SHARED VOTING POWER
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1,831,526
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7
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SOLE DISPOSITIVE POWER
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0
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8
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SHARED DISPOSITIVE POWER
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1,831,526
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||||
9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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1,831,526
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|
||||
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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|||
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||||
11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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5.6% (1)
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|
||||
12
|
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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IN
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(1) |
Based on 32,592,237 shares of the Issuer’s Common Stock (as defined below) outstanding as of December 31, 2021, as provided by the Issuer.
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13G
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1
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NAMES OF REPORTING PERSONS
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Edward Spaniel, Jr
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2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
|
||||
(a)☐
|
|||||
(b)☐
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3
|
SEC USE ONLY
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|||
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||||
4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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USA
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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5
|
SOLE VOTING POWER
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573,306
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6
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SHARED VOTING POWER
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1,831,526(1)
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7
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SOLE DISPOSITIVE POWER
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573,306
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8
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SHARED DISPOSITIVE POWER
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1,831,526(1)
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||||
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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2,404,832
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||||
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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||
☐
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|||
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||||
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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7.4% (2)
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|||
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||||
12
|
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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IN
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(1) |
The shares are held by the Adam H. Dublin 2019 Family Trust of which Mr. Spaniel is co-trustee and has joint investment and dispositive power with Phyllis Dublin; Mr. Spaniel disclaims beneficial ownership of
these shares.
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(2) |
Based on 32,592,237 shares of the Issuer’s Common Stock (as defined below) outstanding as of December 31, 2021, as provided by the Issuer.
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13G
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ITEM 1.
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(a) |
Name of Issuer:
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(b)
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Address of Issuer's Principal Executive Offices:
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ITEM 2.
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(a) |
Name of Person Filing:
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(b) |
Address of Principal Business Office, or if None, Residence:
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(c) |
Citizenship:
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(d) |
Title of Class of Securities:
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(e) |
CUSIP Number:
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ITEM 3. |
IF THIS STATEMENT IS FILED PURSUANT TO SS.240.13d-1(b) OR 240.13d-2(b) OR (c), CHECK WHETHER THE PERSON FILING IS A:
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(a) |
☐ Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).
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(b) |
☐ Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).
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(c) |
☐ Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).
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(d) |
☐ Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8).
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(e) |
☐ An investment adviser in accordance with section 240.13d-1(b)(1)(ii)(E).
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(f) |
☐ An employee benefit plan or endowment fund in accordance with section 240.13d-1(b)(1)(ii)(F).
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(g) |
☐ A parent holding company or control person in accordance with 240.13d-1(b)(1)(ii)(G).
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(h) |
☐ A savings association as defined in section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813).
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(i) |
☐ A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3).
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(j) |
☐ A non-U.S. institution in accordance with §240.13d-1(b)(ii)(J).
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(k) |
☐ Group, in accordance with Rule 13d-1(b)(1)(ii)(K).
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13G
|
ITEM 4. |
OWNERSHIP.
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ITEM 5. |
OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS.
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ITEM 6. |
OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.
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ITEM 7. |
IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY.
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ITEM 8. |
IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.
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ITEM 9. |
NOTICE OF DISSOLUTION OF GROUP.
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ITEM 10. |
CERTIFICATIONS.
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ADAM H. DUBLIN 2019 FAMILY TRUST
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/s/ Phyllis Dublin
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By: Phyllis Dublin
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Its: Co-Trustee
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/s/ Edward Spaniel, Jr.
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By: Edward Spaniel, Jr.
|
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Its: Co-Trustee
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/s/ Phyllis Dublin
|
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Phyllis Dublin
|
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/s/Edward Spaniel, Jr.
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Edward Spaniel, Jr.
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ADAM H. DUBLIN 2019 FAMILY TRUST
|
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/s/ Phyllis Dublin
|
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By: Phyllis Dublin
|
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Its: Co-Trustee
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/s/ Edward Spaniel, Jr.
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By: Edward Spaniel, Jr.
|
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Its: Co-Trustee
|
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/s/ Phyllis Dublin
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Phyllis Dublin
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/s/Edward Spaniel, Jr.
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Edward Spaniel, Jr.
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