SEC Form 5 · accession 0001387131-17-000537
FS Investment Corp IV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael C. Forman
Officer — President and CEO · Director
Period of report
Dec 31, 2016
Accepted (ET)
Feb 3, 2017 · 8:45 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001637417
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class T Common StockF1 | Dec 23, 2016 | G | 21,130 | $0.00 | D | 0 | D | |
| Class T Common StockF2,F3 | holding | — | — | — | 30,717 | I | By The 2011 Forman Investment Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Bona fide gift by the Reporting Person to a gift to a charitable foundation created by the Reporting Person for no consideration.
- F2These shares are directly owned by The 2011 Forman Investment Trust, a trust created by Mr. Forman for the benefit of his minor children. Mr. Forman disclaims beneficial ownership of any shares held by The 2011 Forman Investment Trust that exceed his pecuniary interest therein.
- F3Includes shares received on account of reinvested distributions.