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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
NAVONE ANDREW J 2221 OLYMPIC BLVD WALNUT CREEK, CA 94595 |
X | Director and Senior VP |
Andrew J. Navone | 05/20/2013 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | These shares were acquired in an exchange of 469,295 LP Units of Owens Mortgage Investment Fund for 18,770 shares of Common Stock of Owens Realty Mortgage, Inc. pursuant to a REIT conversion in which the two entities merged on May 20, 2013. Pursuant to the REIT conversion, Owens Realty Mortgage, Inc. became the successor of Owens Mortgage Investment Fund. Mr. Navone is a director and officer of Owens Financial Group, Inc., the general partner of Owens Mortgage Investment Fund prior to the REIT conversion. Owens Financial Group, Inc. will serve as manager of Owens Realty Mortgage, Inc. after the REIT conversion. |
(2) | Shares held by Navone Family 2001 Revocable Trust of which Mr. Navone is a co-trustee. |
(3) | Shares held in a custodial account for Daughter 1. |
(4) | Shares held in a custodial account for Daughter 2. |
(5) | Shares held by A & D Navone Ranch LLC of which Mr. Navone owns 50%. Mr. Navone 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. |