Statement of Changes in Beneficial Ownership (4)
05 Januar 2022 - 9:52PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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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
*
Salter John C. |
2. Issuer Name and Ticker or Trading Symbol
DoubleLine Income Solutions Fund
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DSL
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
_____ Officer (give title below) __X__ Other (specify below)
Trustee |
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(Last)
(First)
(Middle)
C/O DOUBLELINE CAPITAL LP, 333 SOUTH GRAND AVENUE, 18TH FL |
3. Date of Earliest Transaction
(MM/DD/YYYY)
1/3/2022 |
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(Street)
LOS ANGELES, CA 90071
(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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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) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code
(Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4) | 8. Price of Derivative Security
(Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Common Shares (1) | (1) | 1/3/2022 | | J (2) |
V
| 174.317 | | (3) | (3) | Common Shares | 174.317 | $17.21 | 7108.749 | I | See Footnote (2) |
| Explanation of Responses: |
| (1) | The interests are payable based on the net asset value of Common Shares of the Issuer. |
| (2) | Interests are held through a deferred compensation plan. The amount and values above are treated as notional investments in Common Shares of the Issuer under the deferred compensation plan. The number of shares represented by each notional investment is determined by reference to the net asset value of the Issuer determined as of a particular date. The date used for that purpose is shown in column 3 above. The actual transaction date may be a different date. |
| (3) | Interests are settled at the end of a deferral period in accordance with the terms of a deferred compensation plan. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Salter John C.
C/O DOUBLELINE CAPITAL LP
333 SOUTH GRAND AVENUE, 18TH FL
LOS ANGELES, CA 90071 |
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| Trustee |
Signatures
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| /s/ Jeremy C. Smith as Attorney-in-Fact for John C. Salter | | 1/5/2022 |
| **Signature of Reporting Person | Date |
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