0001213900-22-004840.txt : 20220201 0001213900-22-004840.hdr.sgml : 20220201 20220201170014 ACCESSION NUMBER: 0001213900-22-004840 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220128 FILED AS OF DATE: 20220201 DATE AS OF CHANGE: 20220201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Eriksen Howard Timothy CENTRAL INDEX KEY: 0001650715 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38838 FILM NUMBER: 22579690 BUSINESS ADDRESS: BUSINESS PHONE: 360.393.3019 MAIL ADDRESS: STREET 1: 567 WILDROSE CIRCLE CITY: LYNDEN STATE: WA ZIP: 98264 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TSR INC CENTRAL INDEX KEY: 0000098338 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] IRS NUMBER: 132635899 STATE OF INCORPORATION: DE FISCAL YEAR END: 0531 BUSINESS ADDRESS: STREET 1: 400 OSER AVE CITY: HAUPPAUGE STATE: NY ZIP: 11788 BUSINESS PHONE: 5162310333 MAIL ADDRESS: STREET 1: 400 OSER AVENUE CITY: HAUPPAUGE STATE: NY ZIP: 11788 FORMER COMPANY: FORMER CONFORMED NAME: TIME SHARING RESOURCES INC DATE OF NAME CHANGE: 19840129 4 1 ownership.xml OWNERSHIP DOCUMENT X0306 4 2022-01-28 0 0000098338 TSR INC TSRI 0001650715 Eriksen Howard Timothy 8695 GLENDALE RD. CUSTER WA 98240 1 0 0 0 Common Stock, $0.01 par value 2022-01-28 4 F 0 3200 14.36 D 26800 D Represents the forfeiture of restricted stock granted under the TSR, Inc. 2020 Equity Incentive Plan to pay taxes applicable to the vesting of the restricted stock awards. /s/ H. Timothy Eriksen 2022-02-01