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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 144

 

NOTICE OF PROPOSED SALE OF SECURITIES

PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933

 

   SEC USE ONLY
  

                                                     

 

    
    
    
ATTENTION:

Transmit for filing 3 copies of this form concurrently with either placing an order with a broker to execute sale or executing a sale directly with a market maker.

 

1(a) NAME OF ISSUER

PharmChem, Inc.

 

(b) IRS IDENT. NO.

77-0187280

 

(c) S.E.C. FILE NO.

0-19371

1(d) ADDRESS OF ISSUER    CITY                   STATE              ZIP CODE       (e) TELEPHONE NO
              AREA CODE     NUMBER
2411 E. Loop Drive 820 N.    Fort Worth   TX      76118   855    458-4100

2(a) NAME OF PERSON FOR WHOSE ACCOUNT
        THE SECURITIES ARE TO BE SOLD

Tristram Jordan

        

(b) RELATIONSHIP TO         ISSUER

10% Stockholder

 

(c) ADDRESS (STREET, CITY, STATE, ZIP CODE)

 

2649 NE 26th Terr Ft. Lauderdale, FL 33306

INSTRUCTION: The person filing this notice should contact the issuer to obtain the I.R.S. Identification Number and the S.E.C. File Number.

 

3(a)                    (b)         SEC USE ONLY    (c)    (d)   (e)    (f)    (g)

Title of the

Class of

Securities

To Be Sold

  

Name and Address of Each Broker Through Whom

the Securities are to be Offered or Each Market

Maker who is Acquiring the Securities

 

  

Broker-Dealer

File Number

  

Number of Shares

or Other Units

To Be Sold

(See instr. 3(c))

  

Aggregate

Market Value

 

(See instr. 3(d))

 

Number of Shares

or Other Units

Outstanding

(See instr. 3(e))

  

Approximate

Date of Sale

(See instr. 3(f))

(MO. DAY YR.)

  

Name of Each

Securities

Exchange

(See instr. 3(g))

               
Common Stock   

TD Ameritrade

        44,000    $220,000(1)   5,852,593   

09/13/2021

   OTC Market

 

INSTRUCTIONS:

1.

  (a)   Name of issuer
  (b)   Issuer’s I.R.S. Identification Number
  (c)   Issuer’s S.E.C. file number, if any
 

(d)

(e)

 

Issuer’s address, including zip code

Issuer’s telephone number, including area code

2.

  (a)   Name of person for whose account the securities are to be sold
  (b)   Such person’s relationship to the issuer (e.g., officer, director, 10 percent stockholder, or member of immediate family of any of the foregoing)
  (c)   Such person’s address, including zip code
3.   (a)   Title of the class of securities to be sold
  (b)   Name and address of each broker through whom the securities are intended to be sold
  (c)   Number of shares or other units to be sold (if debt securities, give the aggregate face amount)
  (d)   Aggregate market value of the securities to be sold as of a specified date within 10 days prior to the filing of this notice
  (e)   Number of shares or other units of the class outstanding, or if debt securities the face amount thereof outstanding, as shown by the most recent report or statement published by the issuer
  (f)   Approximate date on which the securities are to be sold
  (g)   Name of each securities exchange, if any, on which the securities are intended to be sold
 

 

Potential persons who are to 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.

TABLE I — SECURITIES TO BE SOLD

Furnish the following information with respect to the acquisition of the securities to be sold

and with respect to the payment of all or any part of the purchase price or other consideration therefor:

 

Title of

the Class

  

Date you  

Acquired  

   Name of Acquisition Transaction   

Name of Person From Whom Acquired

(If gift, also give date donor acquired)

   Amount of
Securities Acquired 		  

Date of  

Payment  

   Nature of
Payment
Common Stock    2015    Open Market Purchase    NA    44,000    2015    Cash
INSTRUCTIONS:    If the securities were purchased and full payment therefor was not made in cash at the time of purchase, explain in the table or in a note thereto the nature of the consideration given. If the consideration consisted of any note or other obligation, or if payment was made in installments describe the arrangement and state when the note or other obligation was discharged in full or the last installment paid.

 

 

 

TABLE II—SECURITIES SOLD DURING THE PAST 3 MONTHS

 

Furnish the following information as to all securities of the issuer sold during the past 3 months by the person for whose account the securities are to be sold.

 

Name and Address of the Seller   Title of Securities Sold   Date of Sale   Amount of    
Securities Sold     		  Gross Proceeds    

Tristram Jordan 2649 NE 26 Terr Ft. Lauderdale, FL 33306

 

Common Stock

  Various Ending 08/06/21   13,000   67,084.21

Remarks:

  (1)

Based on market price of $5.01 on Sept 10, 2021.

 

INSTRUCTIONS:

See the definition of “person” in paragraph (a) of Rule 144. Information is to be given not only as to the person for whose account the securities are to be sold but also as to all other persons included in that definition. In addition, information shall be given as to sales by all persons whose sales are required by paragraph (e) of Rule 144 to be aggregated with sales for the account of the person filing this notice.

    

ATTENTION:

The person for whose account the securities to which this notice relates are to be sold hereby represents by signing this notice that he does not know any material adverse information in regard to the current and prospective operations of the Issuer of the securities to be sold which has not been publicly disclosed. If such person has adopted a written trading plan or given trading instructions to satisfy Rule 10b5-1 under the Exchange Act, by signing the form and indicating the date that the plan was adopted or the instruction given, that person makes such representation as of the plan adoption or instruction date.

 

Sept 13, 2021

Date of Notice

    

 

/s/     Tristram Jordan

(Signature)

 

Date of Plan Adoption or Giving of Instruction,
if Relying on Rule 10b5-1.

     The notice shall be signed by the person for whose account the securities are to be sold. At least one copy of the notice shall be manually signed. Any copies not manually signed shall bear typed or printed signatures.

ATTENTION: Intentional misstatements or omission of facts constitute Federal Criminal Violations (See 18 U.S.C. 1001)

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