FORM 3/A |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL DECLARATION OF BENEFICIAL OWNER OF THE SECURITIES Filed under 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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Table II – Beneficial ownership derivative securities (for exampleputs, calls, warrants, options, convertible securities)
1. Title of derivative title |
2. Exercise date and expiry date |
3. Title and amount of the securities underlying the derivative securities |
4. Conversion or exercise price of the derivative security |
5. Form of ownership of derivative securities: direct (D) or indirect (I) |
6. Nature of Indirect Beneficial Ownership |
Exercise date |
Expiration date |
Title |
Amount or number of shares |
Reporting owners
Name/address of declaring owner | Relationships | |||
Director |
10% Owner |
Officer |
Other |
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SC Capital 1 LLC HUTCHINSON, KS67502 |
X |
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DIRKS MICHEL W HUTCHINSON, KS67502 |
X |
Signatures
/s/ Michael W. Dirks |
2022-05-19 |
**Signature of declaring person |
Date |
/s/ Michael W. Dirks |
2022-05-19 |
**Signature of declaring person |
Date |
Explanation of answers:
If the form is completed by several declarants, to see |
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Section 5(b)(v). |
(**) Intentional misrepresentation or omission of facts are federal criminal offenses. To see |
18 USC 1001 and 15 USC 78ff(a). |
(1) |
This amendment to Form 3 is filed to correct the original Form 3 filed on April 22, 2022. After consulting with the issuer regarding the calculations relating to the exercise of the warrants and the consolidation of the issuer’s shares in connection with its initial public offering, it was discovered that the reporting person had inadvertently included 9,386 common shares of the issuer in its reported holdings. |
(2) |
Michael W. Dirks is the manager of SC Capital 1 LLC and may be deemed to have voting and investment power over the shares held by SC Capital 1 LLC. Mr. Dirks disclaims beneficial ownership of such shares except to the extent of his pecuniary interests, and this report shall not be taken as an admission that Mr. Dirks is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. |
(3) |
Shares under this option are fully vested. Note: Submit three copies of this form, one of which must be manually signed. If space is insufficient, To see
Instruction 6 for the procedure. Potential individuals who need to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
Warning Clarion Inc. published this content on May 19, 2022 and is solely responsible for the information contained therein. Distributed by Public, unedited and unmodified, onMay 19, 2022 9:33:52 PM UTC
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