SEC Form 5 · accession 0000766829-18-000052
H2O AMERICA · HTO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
George E Moss
Director
Period of report
Dec 31, 2017
Accepted (ET)
Feb 12, 2018 · 1:56 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000766829
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 8, 2017 | J | 811,059 | $0.00 | D | 0 | I | By John Kimberly Moss Trust |
| Common StockF2 | holding | — | — | — | 1,085,135 | D | ||
| Common Stock | holding | — | — | — | 6,645 | I | By spouse's revocable trust | |
| Common Stock | holding | — | — | — | 800 | I | By spouse's IRA | |
| Common Stock | holding | — | — | — | 1,303 | I | By spouse's Roth IRA |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The reporting person resigned as the trustee of the John Kimberly Moss Trust (the "Trust") and no longer has any pecuniary interest in the shares held by the Trust.
- F2Represents 1,083,980 shares of the issuer's common stock held by the George Edward Moss Trust, a living trust of which the reporting person is the sole trustee and sole beneficiary, and 1,155 shares of the issuer's common stock subject to restricted stock units.