SEC Form 4 · accession 0001750866-19-000004
LISA MICHELLE PARKER · WEB2537
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michelle Parker Lisa
Other
Period of report
Feb 8, 2019
Accepted (ET)
Feb 8, 2019 · 8:13 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001750866
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| LISA MICHELLE PARKER (PA) ADR 140034-1969 | Feb 8, 2019 | J | 1 | $250,000.00 | D | 1 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CASE REFERENCE #93829906836F1,F2 | $77,000.00 | Nov 13, 2018 | J | 1 | A | Nov 13, 2018 | May 20, 2019 | Promissory Note LMP10171969100 | 1 | 1 | D |
| NOTICE CP504 TAX YEAR 2012 | $45,000.00 | Oct 1, 2015 | J | 1 | D | Oct 1, 2015 | Apr 20, 2016 | CASHIER CHECK 0002 | 1 | 1 | D |
| NOTICE CP504 TAX YEAR 2013 | $15,000.00 | Oct 1, 2015 | J | 1 | D | Oct 1, 2015 | Apr 20, 2016 | CASHIER CHECK 0003 | 1 | 1 | D |
| NOTICE CP504 TAX YEAR 2014 | $15,000.00 | Oct 1, 2015 | J | 1 | D | Oct 1, 2015 | Apr 20, 2016 | CASHIER CHECK 0004 | 1 | 1 | D |
| NOTICE CP504 TAX YEAR 2011 | $15,000.00 | Oct 1, 2015 | J | 1 | D | Oct 1, 2015 | Apr 20, 2016 | CASHIER CHECK 0005 | 1 | 1 | D |
| NOTICE CP504 TAX YEAR 2010 | $15,000.00 | Oct 1, 2015 | J | 1 | D | Oct 1, 2015 | Apr 20, 2016 | CASHIER CHECK 0007 | 1 | 1 | D |
| LTR 3176C TAX YEAR 2013 | $15,000.00 | Oct 1, 2015 | J | 1 | D | Oct 1, 2015 | Apr 20, 2016 | CASHIER CHECK 0006 | 1 | 1 | D |
| LTR 3176C TAX YEAR 2011 | $15,000.00 | Oct 1, 2015 | J | 1 | D | Oct 1, 2015 | Apr 20, 2016 | CASHIER CHECK 0021 | 1 | 1 | D |
| LTR 3176C TAX YEAR 2012 | $15,000.00 | Oct 1, 2015 | J | 1 | D | Oct 1, 2015 | Apr 20, 2016 | CASHIER CHECK 0022 | 1 | 1 | D |
Explanation of responses
- F1Promissory Note 10171969100 regarding INTERNAL REVENUE SERVICE notice CP504 Taxpayer Id XXXX5510, Case Reference 9382906836.
- F212 USC 411, The said notes shall be obligations of the United States and shall be receivable by all national , member and Federal Reserve banks, They shall be redeemed in lawful money on demand at the Treasury Department of the United States Unless the original Negotiable Instrument is dishonored in writing within 10 days of receipt by the Secretary of the Treasury. Claimant;s financial institution is to release the credit on hold to the payee. UCC 3-411 (b)