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