0001140361-21-030354.txt : 20210903 0001140361-21-030354.hdr.sgml : 20210903 20210903145116 ACCESSION NUMBER: 0001140361-21-030354 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210226 FILED AS OF DATE: 20210903 DATE AS OF CHANGE: 20210903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PESSIN NORMAN H CENTRAL INDEX KEY: 0000923666 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39227 FILM NUMBER: 211236166 MAIL ADDRESS: STREET 1: C/O LEVY, HARKINS & CO., INC. STREET 2: 366 MADISON AVENUE, 14TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pessin Brian L. CENTRAL INDEX KEY: 0001582758 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39227 FILM NUMBER: 211236165 MAIL ADDRESS: STREET 1: 310 EAST 75TH STREET STREET 2: APT. 2A CITY: NEW YORK STATE: NY ZIP: 10021 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PESSIN SANDRA F CENTRAL INDEX KEY: 0000936979 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39227 FILM NUMBER: 211236164 MAIL ADDRESS: STREET 1: C/O NORMAN PESSIN STREET 2: 366 MADISON AVENUE, 14TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DUOS TECHNOLOGIES GROUP, INC. CENTRAL INDEX KEY: 0001396536 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 650493217 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6622 SOUTHPOINT DRIVE S STREET 2: SUITE 310 CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-296-2807 MAIL ADDRESS: STREET 1: 6622 SOUTHPOINT DRIVE S STREET 2: SUITE 310 CITY: JACKSONVILLE STATE: FL ZIP: 32216 FORMER COMPANY: FORMER CONFORMED NAME: DUOS TECHNOLOGY GROUP, INC. DATE OF NAME CHANGE: 20150710 FORMER COMPANY: FORMER CONFORMED NAME: INFORMATION SYSTEMS ASSOCIATES, INC. DATE OF NAME CHANGE: 20070416 4 1 form4.xml FORM 4 X0306 4 2021-02-26 0001396536 DUOS TECHNOLOGIES GROUP, INC. DUOT 0000923666 PESSIN NORMAN H 400 E. 51ST STREET PH 31 NEW YORK NY 10022 true 0001582758 Pessin Brian L. 310 E. 75TH STREET APARTMENT 2A NEW YORK NY 10021 true 0000936979 PESSIN SANDRA F 400 E. 51ST STREET PH 31 NEW YORK NY 10022 true Common Stock 102972 D Common Stock 71430 D Common Stock 75002 D Series B Convertible Preferred Stock 7 Common Stock 243572 1705 D Series C Convertible Preferred Stock 5.5 2021-02-26 4 P 0 1500 1000 A Common Stock 272727 1500 D Series C Convertible Preferred Stock 5.5 2021-02-26 4 P 0 500 1000 A Common Stock 90909 500 D This Form 4 is filed jointly by Norman H. Pessin, Brian L. Pessin and Sandra F. Pessin (collectively, the "Reporting Persons"). Each Reporting Person may be deemed to be a member of a Section 13(d) group, that may be deemed to collectively beneficially own more than 10% of the Issuer's outstanding shares of common stock. Each Reporting Person disclaims beneficial ownership of the shares of common stock reported herein except to the extent of his or her pecuniary interest therein, and this report shall not be deemed to be an admission that any Reporting Person is the beneficial owner of such shares of common stock for purposes of Section 16 or for any other purpose. Shares beneficially owned by Sandra F. Pessin, Norman H. Pessin's spouse. Norman H. Pessin expressly disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. Shares beneficially owned by Brian L. Pessin. Norman H. Pessin and Sandra F. Pessin expressly disclaim beneficial ownership of such shares. The Series B Convertible Preferred Stock ("Series B Preferred Stock") is not currently exercisable due to a 4.99% beneficial ownership limitation with respect to Common Stock owned by Sandra F. Pessin, affiliates of Sandra F. Pessin or members of a group with Sandra F. Pessin. Such 4.99% beneficial ownership limitation can be increased to 9.99%. The Series B Preferred Stock has no stated maturity date. Sandra F. Pessin owns 1,705 shares of Series B Preferred Stock convertible into 243,572 shares of Common Stock. The Series C Convertible Preferred Stock ("Series C Preferred Stock") is not currently exercisable due to a 4.99% beneficial ownership limitation with respect to Common Stock owned by Sandra F. Pessin, affiliates of Sandra F. Pessin or members of a group with Sandra F. Pessin. Such 4.99% beneficial ownership limitation can be increased to 19.99%. The Series C Preferred Stock has no stated maturity date. Sandra F. Pessin owns 1,500 shares of Series C Preferred Stock convertible into 272,727 shares of Common Stock. The Series C Preferred Stock is not currently exercisable due to a 4.99% beneficial ownership limitation with respect to the Common Stock owned by Brian L. Pessin, affiliates of Brian L. Pessin or members of a group with Brian L. Pessin. The Series C Preferred Stock has no stated maturity date. Brian L. Pessin owns 500 shares of Series C Preferred Stock convertible into 90,909 shares of Common Stock. /s/ Norman H. Pessin 2021-09-03 /s/ Brian L. Pessin 2021-09-03 /s/ Sandra F. Pessin 2021-09-03