The information required in the remainder of
this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934
("Act") or otherwise subject to the liabilities of that section of the
Act but shall be subject to all other provisions of the Act (however, see the Notes).
| CUSIP No. ............................................................................................................. |
___________________________________________________________________________________
(1)
Names of Reporting Persons I.R.S. Identification
Nos. of Above Persons (entities only)
....... ............................................................................................................ |
___________________________________________________________________________________
(2) Check the Appropriate Box if a Member of a Group (See
Instructions)......................
(a).........................................................................................................
(b)......................................................................................................... |
___________________________________________________________________________________
(3) SEC Use Only ...................................................................................... |
___________________________________________________________________________________
(4) Citizenship or Place of Organization............................................................. |
___________________________________________________________________________________
Number of Shares (5)Sole Voting Power............................................................ |
Beneficially ____________________________________________________________
Owned (6)Shared
Voting Power......................................................... |
by Each ____________________________________________________________
Reporting (7)Sole
Dispositive Power....................................................... |
Person ____________________________________________________________
With (8)Shared
Dispositive Power................................................... |
___________________________________________________________________________________
(9)Aggregate Amount Beneficially Owned by Each Reporting
Person......................... |
___________________________________________________________________________________
(10)Check if the Aggregate Amount in Row (9) Excludes Certain
Shares (See Instructions) |
___________________________________________________________________________________
(11)Percent of Class Represented by Amount in Row 9 ......................................... |
___________________________________________________________________________________
(12)Type of Reporting Person (See Instructions).................................................. |
___________________________________________________________________________________
(14)Check the appropriate box to designate the rule pursuant
to which this Schedule is filed:
[ ] Rule 13d-1(b)
[ ] Rule 13d-1(c)
[ ] Rule 13d-1(d)
___________________________________________________________________________________ |
Instructions for Cover Page
| (1)Names
and I.R.S. Identification Numbers of Reporting Persons---Furnish the full legal
name of each person for whom the report is filed---i.e., each person required to
sign the schedule itself---including each member of a group. Do not include the name
of a person required to be identified in the report but who is not a reporting person.
Reporting persons are also requested to furnish their I.R.S. identification numbers,
although disclosure of such numbers is voluntary, not mandatory (see "SPECIAL
INSTRUCTIONS FOR COMPLYING WITH SCHEDULE 13G", below). |
| (2)If
any of the shares beneficially owned by a reporting person are held as a member of
a group and that membership is expressly affirmed, please check row 2(a). If the
reporting person disclaims membership in a group or describes a relationship with
other person but does not affirm the existence of a group, please check row 2(b)
[unless it is a joint filing pursuant to Rule 13d-1(k)(1)
in which case it may not be necessary to check row 2(b)]. |
| (3)The
third row is for SEC internal use; please leave blank. |
| (4)
Citizenship or Place of Organization---Furnish citizenship if the named reporting
person is a natural person. Otherwise, furnish place of organization. |
| (5)-(9), (11)Aggregated Amount Beneficially
Owned By Each Reporting Person, etc.---Rows (5) through (9) inclusive, and (11)
are to be completed in accordance with the provisions of Item 4
of Schedule 13G. All percentages are to be rounded off to the nearest tenth (one
place after decimal point). |
| (10)Check
if the aggregate amount reported as beneficially owned in row 9 does not include
shares as to which beneficial ownership is disclaimed pursuant to Rule
13d-4 under the Securities Exchange Act of 1934. |
| (12)Type
of Reporting Person---Please classify each "reporting person" according
to the following breakdown (see Item 3 of Schedule 13G) and
place the appropriate symbol on the form: |
| Category |
Symbol
|
| Broker Dealer |
BD
|
| Bank |
BK
|
| Insurance Company |
IC
|
| Investment Company |
IV
|
| Investment Adviser |
IA
|
| Employee Benefit Plan or Endowment Fund |
EP
|
| Parent Holding Company/Control Person |
HC
|
| Savings Association |
SA
|
| Church Plan |
CP
|
| Corporation |
CO
|
| Partnership |
PN
|
| Individual |
IN
|
| Other |
OO
|
Notes:
Attach as many copies of the second part of
the cover page as are needed, one reporting person per page.
Filing persons may, in order to avoid unnecessary
duplication, answer items on the schedules (Schedule 13D, 13G, or 14D-1) by appropriate
cross references to an item or items on the cover page(s). This approach may only
be used where the cover page item or items provide all the disclosure required by
the schedule item. Moreover, such a use of a cover page item will result in the item
becoming a part of the schedule and accordingly being considered as "filed"
for purposes of Section 18 of the Securities Exchange
Act or otherwise subject to the liabilities of that section of the Act.
Reporting persons may comply with their cover
page filing requirements by filing either completed copies of the blank forms available
from the Commission, printed or typed facsimiles, or computer printed facsimiles,
provided the documents filed have identical formats to the forms prescribed in the
Commission's regulations and meet existing Securities Exchange Act rules as to such
matters as clarity and size (Securities Exchange Act Rule
12b-12).
SPECIAL INSTRUCTIONS FOR COMPLYING WITH SCHEDULE 13G
Under Sections 13(d), 13(g), and 23 of the Securities Exchange Act of 1934 and the rules and regulations thereunder,
the Commission is authorized to solicit the information required to be supplied by
this schedule by certain security holders of certain issuers.
Disclosure of the information specified in this
schedule is mandatory, except for I.R.S. identification numbers disclosure of which
is voluntary. The information will be used for the primary purpose of determining
and disclosing the holdings of certain beneficial owners of certain equity securities.
This statement will be made a matter of public record. Therefore, any information
given will be available for inspection by any member of the public.
Because of the public nature of the information,
the Commission can utilize it for a variety of purposes, including referral to other
governmental authorities or securities self-regulatory organizations for investigatory
purposes or in connection with litigation involving the Federal securities laws or
other civil, criminal or regulatory statues or provisions. I.R.S. identification
numbers, if furnished, will assist the commission in identifying security holders
and, therefore, in promptly processing statements of beneficial ownership of securities.
Failure to disclose the information requested
by this schedule, except for I.R.S. identification numbers, may result in civil or
criminal action against the persons involved for violation of the Federal securities
laws and rules promulgated thereunder.
General Instructions
- Statements filed pursuant to Rule
13d-1(b) containing the information required by this schedule shall be filed
not later than February 14 following the calendar year covered by the statement or
within the time specified in Rules 13d-1(b)(2) and 13d-2(c).
Statements filed pursuant to Rule 13d-1(c) shall be filed within the time specified
in Rules 13d-1(c), 13d- 2(b) and 13d-2(d). Statements filed pursuant to Rule 13d-1(d)
shall be filed not later than February 14 following the calendar year covered by
the statement pursuant to Rules 13d-1(d) and 13d-2(b).
- Information contained in a form which is required to be
filed by rules under Section 13(f) for the same
calendar year as that covered by a statement on this schedule may be incorporated
by reference in response to any of the items of this schedule. If such information
is incorporated by reference in this schedule, copies of the relevant pages of such
form shall be filed as an exhibit to this schedule.
- The item numbers and captions of the items shall be included
but the text of the items is to be omitted. The answers to the items shall be so
prepared as to indicate clearly the coverage of the items without referring to the
text of the items. Answer every item. If an item is inapplicable or the answer is
in the negative, so state.
Item 1
| Item 1(a) Name of Issuer: |
..............................................................................................................................................................
Item 1(b) Address of Issuer's
Principal Executive Offices: |
Item 2
| 2(a) Name of Person Filing: |
..............................................................................................................................................................
2(b) Address or Principal
Business Office or, if none, Residence: |
..............................................................................................................................................................
2(c) Citizenship: |
..............................................................................................................................................................
2(d) Title of Class of
Securities: |
..............................................................................................................................................................
2(e) CUSIP No.: |
Item 3.
If this statement is filed pursuant
to Rules 13d-1(b), or 13d-2(b)
or (c), check whether the person filing is a:
- [ ] Broker or Dealer registered under Section
15 of the Act.
- [ ] Bank as defined in Section 3(a)(6) of the Act.
- [ ] Insurance Company as defined in Section
3(a)(19) of the Act.
- [ ] Investment company registered under Section
8 of the Investment Company Act of 1940.
- [ ] An investment adviser in accordance with
Rule 13d-1(b)(1)(ii)(E);
- [ ] An employee benefit plan or endowment fund
in accordance with Rule 13d-1(b)(1)(ii)(F);
- [ ] A parent holding company or control person
in accordance with Rule 13d-1(b)(1)(ii)(G);
- [ ] A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
- [ ] A church plan that is excluded from the
definition of an investment company under section
3(c)(14) of the Investment Company Act of 1940;
- [ ] Group, in accordance with Rule
13d-1(b)(1)(ii)(J).
Item 4. Ownership
Provide the following information regarding the
aggregate number and percentage of the class of securities of the issuer identified
in Item 1.
- Amount Beneficially Owned:
.....................................................................................................................
- Percent of class
.....................................................................................................................
- Number of shares as to which such person has:
- Sole power to vote or to direct the vote ........................................................
- Shared power to vote or to direct the vote .....................................................
- Sole power to dispose or to direct the disposition
of .........................................
- Shared power to dispose or to direct the disposition
of ......................................
Instruction.-For computations regarding
securities which represent a right to acquire an underlying security see Rule
13d-3(d)(1).
Item 5.
Ownership of 5 Percent or Less of a Class.
If this statement is being filed to report the fact that as of the date hereof the
reporting person has ceased to be the beneficial owner of more than 5 percent of
the class of securities, check the following [ ].
Instruction. Dissolution of a group requires a response
to this item.
Item 6. Ownership of More than 5 Percent on Behalf of
Another Person
If any other person is known to have the right
to receive or the power to direct the receipt of dividends from, or the proceeds
from the sale of, such securities, a statement to that effect should be included
in response to this item and, if such interest relates to more than 5 percent of
the class, such person should be identified. A listing of the shareholders of an
investment company registered under the Investment
Company Act of 1940 or the beneficiaries of employee benefit plan, pension fund
or endowment fund is not required.
Item 7. Identification and Classification of the Subsidiary
Which Acquired the Security Being Reported on By the Parent Holding Company or Control
Person.
If a parent holding company or control person
has filed this schedule pursuant to Rule 13d-1(b)(1)(ii)(G),
so indicate under Item 3(g) and attach an exhibit stating
the identity and the Item 3 classification of the relevant
subsidiary. If a parent holding company or control person has filed this schedule
pursuant to Rule 13d-1(c) or Rule
13d-1-(d), attach an exhibit stating the identification of the relevant subsidiary.
Item 8. Identification and Classification of Members
of the Group
If a group has filed this schedule pursuant
to Rule 13d-1(b)(ii)(J), so indicate under Item 3(j) and attach an exhibit stating the identity and Item 3 classification of each member of the group. If a group
has filed this schedule pursuant to Rule 13d-1(c)
or Rule 13d-1(d), attach an exhibit stating the identity
of each member of the group.
Item 9. Notice of Dissolution of Group
Notice of dissolution of a group may be furnished
as an exhibit stating the date of the dissolution and that all further filings with
respect to transactions in the security reported on will be filed, if required, by
members of the group, in their individual capacity. See Item 5.
Item 10. Certifications
- The following certification shall be included
if the statement is filed pursuant to Rule 13d-1(b):
By signing below I certify that, to the best of my knowledge and belief, the securities
referred to above were acquired and are held in the ordinary course of business and
were not acquired and are not held for the purpose of or with the effect of changing
or influencing the control of the issuer of the securities and were not acquired
and are not held in connection with or as a participant in any transaction having
that purpose or effect.
- The following certification shall be included
if the statement is filed pursuant to Rule 13d-1(c):
By signing below I certify that, to the best of my knowledge and belief, the securities
referred to above were not acquired and are not held for the purpose of or with the
effect of changing or influencing the control of the issuer of the securities and
were not acquired and are not held in connection with or as a participant in any
transaction having that purpose or effect.
Signature.
After reasonable inquiry and to the best of
my knowledge and belief, I certify that the information set forth in this statement
is true, complete and correct.
.......................................................................................................................................
Dated |
.......................................................................................................................................
Signature |
.......................................................................................................................................
Name/Title |
The original statement shall be signed by each
person on whose behalf the statement is filed or his authorized representative. If
the statement is signed on behalf of a person by his authorized representative other
than an executive officer or general partner of the filing person, evidence of the
representative's authority to sign on behalf of such person shall be filed with the
statement, provided, however, that a power of attorney for this purpose which
is already on file with the Commission may be incorporated by reference. The name
and any title of each person who signs the statement shall be typed or printed beneath
his signature.
Note: Schedules filed in paper format shall include
a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7 for other parties for whom copies are to be
sent.
Attention: Intentional misstatements or omissions
of fact constitute Federal criminal violations (see 18
U.S.C. 1001).
Published for the Center for Corporate Law
by the Center for Electronic Text in the Law