Statement of Changes in Beneficial Ownership (4)
March 29 2019 - 4:29PM
Edgar (US Regulatory)
FORM 4
[
X
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
OWENS WILLIAM C
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2. Issuer Name
and
Ticker or Trading Symbol
Owens Realty Mortgage, Inc.
[
ORM
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
2221 OLYMPIC BLVD
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3. Date of Earliest Transaction
(MM/DD/YYYY)
3/29/2019
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(Street)
WALNUT CREEK, CA 94595
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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ORM Common Stock
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3/29/2019
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D
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14600
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D
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(1)
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0
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D
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ORM Common Stock
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96875
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I
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By Owens Financial Group, Inc.
(2)
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ORM Common Stock
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19516
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I
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By Self as Trustee for Owens Trust Dated 2/24/93
(3)
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ORM Common Stock
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4637
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I
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By Belmar, Limited Partnership
(4)
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ORM Common Stock
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6361
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I
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By Spouse
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ORM Common Stock
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64880
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I
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By Owens Financial Group 401(k)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(1)
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Disposed of pursuant to merger agreement between Issuer and Ready Capital Corporation ("Ready Captial") in exchange for 21,038 shares of Ready Capital's common stock having a market value of $14.67 per share on the effective date of the merger.
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(2)
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William C. Owens is an officer and director of Owens Realty Mortgage, Inc. Mr. Owens owns 62.50% of Owens Financial Group, Inc. Each of Bryan H. Draper and William E. Dutra own 16.30%, and Brian M. Haines owns 4.90% of Owens Financial Group, Inc. Owens Financial Group, Inc. owns 96,785 shares of Common Stock of Owens Realty Mortgage, Inc. Owens Financial Group, Inc. holds 83, 049 shares directly, and Investors Yield. Inc. (a wholly-owned subsidiary of Owens Financial Group, Inc.) holds 13,736 shares. Mr. Owens disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
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(3)
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Shares held by Owens Trust dated February 24, 1993, the trustee of which is Mr. Owens.
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(4)
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Shares held by Belmar, a California limited partnership of which Mr. Owens owns 49.22%. Mr. Owens disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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OWENS WILLIAM C
2221 OLYMPIC BLVD
WALNUT CREEK, CA 94595
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X
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Signatures
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Mandy Moldovan
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3/29/2019
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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