SEC Form 4 · accession 0001225208-18-016337

Everpure, Inc. · P

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Dec 4, 2018

Accepted (ET)

Dec 7, 2018 · 4:52 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001474432

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Class A Common Stock^F1,F2	Dec 4, 2018	C	6,000	$0.00	A	31,380	D
Class A Common Stock^F1,F3	Dec 4, 2018	C	43,800	$0.00	A	43,800	I	By Profit Sharing Plan Trust
Class A Common Stock^F4	holding	—	—		—	40,982	I	By Trust (Trustees)

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Class B Common Stock^F1	—	Dec 4, 2018	C	6,000	D	—	—	Class A Common Stock	6,000	0	D
Class B Common Stock^F1,F3	—	Dec 4, 2018	C	43,800	D	—	—	Class A Common Stock	43,800	0	I

F1On December 4, 2018, the Issuer's outstanding shares of Class B Common Stock ceased to represent at least 10% of all outstanding shares of Class A Common Stock and Class B Common Stock. As a result, each share of the Issuer's Class B Common Stock automatically converted into one share of Class A Common Stock pursuant to Issuer's amended and restated certification of incorporation.
F2The reporting person shares pecuniary interest in 25,380 shares with other individuals pursuant to a contractual relationship. The reporting person disclaims beneficial ownership in these 25,380 shares except as to the reporting person's pecuniary interest therein.
F3Shares held by the SHV Profit Sharing Plan, a retirement trust, for the benefit of the reporting person.
F4Shares held by a trust of which the reporting person is a trustee. The reporting person disclaims beneficial ownership in these shares except as to the reporting person's pecuniary interest therein.