Initial Statement of Beneficial Ownership (3)
17 Juli 2019 - 10:41PM
Edgar (US Regulatory)
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
Barlow William Caleb
|
2. Date of Event Requiring Statement (MM/DD/YYYY)
7/15/2019
|
3. Issuer Name
and
Ticker or Trading Symbol
CYNERGISTEK, INC [CTEK]
|
(Last)
(First)
(Middle)
11940 JOLLYVILLE RD, STE. 300-N
|
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
President and CEO /
|
(Street)
AUSTIN, TX 78759
(City)
(State)
(Zip)
|
5. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Beneficially Owned
|
1.Title of Security
(Instr. 4)
|
2. Amount of Securities Beneficially Owned
(Instr. 4)
|
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
|
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
|
No securities are beneficially owned
|
0
|
D
|
|
Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 4)
|
2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
|
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
|
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
|
Date Exercisable
|
Expiration Date
|
Title
|
Amount or Number of Shares
|
Explanation of Responses:
|
Remarks:
By Alexander Pearson, pursuant to a Power of Attorney dated July 17, 2019, filed as Exhibit 24.1 hereto on behalf of the Reporting Person.
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
Director
|
10% Owner
|
Officer
|
Other
|
Barlow William Caleb
11940 JOLLYVILLE RD, STE. 300-N
AUSTIN, TX 78759
|
X
|
|
President and CEO
|
|
Signatures
|
/s/ William Caleb Barlow
|
|
7/17/2019
|
**
Signature of Reporting Person
|
Date
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
|
*
|
If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
|
**
|
Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
|
Note:
|
File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
|
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.
|
CynergisTek (AMEX:CTEK)
Historical Stock Chart
Von Jun 2024 bis Jul 2024
CynergisTek (AMEX:CTEK)
Historical Stock Chart
Von Jul 2023 bis Jul 2024
Echtzeit-Nachrichten über CynergisTek Inc (Amerikanische Börse): 0 Nachrichtenartikel
Weitere Cynergistek, Inc News-Artikel