Initial Statement of Beneficial Ownership (3)
12 September 2019 - 10:05PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
*
BOLLING ERIC |
2. Date of Event Requiring Statement (MM/DD/YYYY)
9/9/2019
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3. Issuer Name and Ticker or Trading Symbol
JanOne Inc. [ARCI]
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(Last)
(First)
(Middle)
325 E. WARM SPRINGS ROAD SUITE 102 |
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 Chairman / |
(Street)
LAS VEGAS, NV 89119
(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
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Table I - Non-Derivative Securities Beneficially Owned
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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) |
Common Stock, par value $0.001 per share | 223214 (1) | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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: |
(1) | 111,607 vested on September 9, 2019, 55,803 vest on September 9, 2020, and 55,804 vest on September 9, 2021. Upon termination of employment by Mr. Bolling or by the Company of Mr. Bolling for "cause" (as defined in Mr. Bolling's employment agreement), all of such unvested shares shall be forfeited. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
BOLLING ERIC 325 E. WARM SPRINGS ROAD SUITE 102 LAS VEGAS, NV 89119 | X |
| President and Chairman |
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Signatures
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/s/ Eric Bolling | | 9/12/2019 |
**Signature of Reporting Person | Date |
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