SEC Form 4/A · accession 0001744919-19-000008
ESTATE OF HAZINE CHERMON CHERY · 52115796
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Chermon Chery Hazine
Officer — AGENT
Period of report
Feb 11, 2019
Accepted (ET)
Feb 11, 2019 · 1:03 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001744919
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| FL ADR No. 16045009-2 | Feb 7, 2019 | J | 100 | $1,000,000.00 | D | 99,999,900 | D | |
| FL ADR No. 201805189210 | Apr 21, 2018 | J | 400,000,000,000 | $400,000,000,000.00 | D | 0 | D | |
| FL ADR No. HCCZT-IBN00001 | May 20, 2018 | J | 100,000,000 | $100,000,000.00 | D | 399,900,000,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FL ADR No. 35112483 Payable through FRB Fiscal Agent | $1,000,000.00 | Feb 7, 2019 | J | 100 | A | Feb 7, 2019 | Aug 7, 2019 | FL ADR No. 16045009-2 | 99,999,900 | 100 | D |
| FL ADR No. HCCZT-IBN00001 Payable through FRB Fiscal Agent | $400,000,000,000.00 | Apr 21, 2018 | J | 400,000,000,000 | A | Apr 21, 2018 | Apr 21, 2048 | FL ADR No. 201805189210 | 0 | 400,000,000,000 | D |
| FL ADR No. HCCZT-B00001 Payable through FRB Fiscal Agent | $100,000,000.00 | May 20, 2018 | J | 100,000,000 | A | May 20, 2018 | May 20, 2023 | HCCZT-IBN00001 | 399,900,000,000 | 100,000,000 | D |
Explanation of responses
- F1100 shares were deducted from FL ADR No. 16045009-2 (Non-Derivative Security) and were acquired by FL ADR No. 35112483 (Derivative Security); hence, Conversion or Exercise Price of Derivative Security is $1,000,000.00. Said Derivative Security is Payable through FRB Fiscal Agent/ FRB Participant.
- F2400,000,000,000 shares were deducted from FL ADR No. 201805189210 (Non-Derivative Security) and were acquired by FL ADR No. HCCZT-IBN00001 (Derivative Security); hence, Conversion or Exercise Price of Derivative Security is $400,000,000,000.00. Said Derivative Security is Payable through FRB Fiscal Agent/ FRB Participant.
- F3100,000,000 shares were deducted from FL ADR No. HCCZT-IBN00001 (Non-Derivative Security) and were acquired by FL ADR No. HCCZT-B00001 (Derivative Security); hence, Conversion or Exercise Price of Derivative Security is $100,000,000.00. Said Derivative Security is Payable through FRB Fiscal Agent/ FRB Participant.
- F4100 shares were deducted from FL ADR No. 16045009-2 (Non-Derivative Security) and were acquired by FL ADR No. 35112483 (Derivative Security); hence, Conversion or Exercise Price of Derivative Security is $1,000,000.00. Said Derivative Security is Payable through FRB Fiscal Agent/ FRB Participant.
- F5400,000,000,000 shares were deducted from FL ADR No. 201805189210 (Non-Derivative Security) and were acquired by FL ADR No. HCCZT-IBN00001 (Derivative Security); hence, Conversion or Exercise Price of Derivative Security is $400,000,000,000.00. Said Derivative Security is Payable through FRB Fiscal Agent/ FRB Participant.
- F6100,000,000 shares were deducted from FL ADR No. HCCZT-IBN00001 (Non-Derivative Security) and were acquired by FL ADR No. HCCZT-B00001 (Derivative Security); hence, Conversion or Exercise Price of Derivative Security is $100,000,000.00. Said Derivative Security is Payable through FRB Fiscal Agent/ FRB Participant.
Remarks
Tender In terms of the Negotiable Instruments Act, 1881; Public Law 73-10, Chapter 48, 48 Stat 112; (Gold Reserve Act) U.C.C. Article 9; 31 C.F.R. 225.2/ Government Obligation; 31 U.S.C. 5118 (d)(2); 31 U.S.C.463, Public Law 97 258; U.C.C. Article 4 302; 12 U.S.C. 411; Securities Act 2(1), 3(a)(3); Congressional Statutes At Large, Title 62, Positive Law; 31 U.S.C. 5312; U.C.C. 2-304; 12 U.S.C. 1831n (a)(2)(A)/ Uniform accounting principles consistent with G.A.A.P.; 12 U.S.C. 1813(l)(1) DEPOSIT, money or its equivalent; Public Policy; AND settlement in terms of the United States Supreme High Court of Justice, Rule 45.