SEC Form 4/A · accession 0001750866-19-000040
LISA MICHELLE PARKER · WEB2537
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
Michelle Parker Lisa
Other
Period of report
Feb 22, 2019
Accepted (ET)
Feb 22, 2019 · 5:16 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001750866
Table I — non-derivative securities
No Table I lines on this filing.
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 | $77,000.00 | Feb 22, 2019 | J | 1 | D | Feb 22, 2019 | Aug 25, 2019 | Promissory Note LMP10171969100 | 1 | 1 | D |
| Arkansas Uniform Commercial Code File # 4000017517496F1 | $77,000.00 | Feb 22, 2019 | J | 1 | D | Feb 22, 2019 | Aug 25, 2019 | Promissory Note LMP10171969100 | 1 | 1 | D |
| Arkansas Uniform Commercial Code File # 4000017236248F1 | $5,474.00 | Feb 22, 2019 | J | 1 | D | Feb 22, 2019 | Aug 25, 2019 | Bill of Exchange LMP0019 | 1 | 1 | D |
Explanation of responses
- F1Promissory Note# LMP10171969100 regarding INTERNAL REVENUE SERVICE notice CP804, Taxpayer ID xxx5510 Case Reference # 9382906836. Arkansas Uniform Commercial Code Original Filing # 40000125432627 and Arkansas UCC Amendment Filing # 40000177517496. Arkansas Amendment Filing # 4000017235248, Bill of Exchange LMP0019 in the amount of $5,473.81 and Arkansas Amendment Filing # 40000170353619, Bill of Exchange LMP0004 in the amount of $71,401.08.