UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
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) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FS SPECIAL OPPORTUNITIES I, L.P. 3300 EXCELSIOR BLVD SUITE 560 MINNEAPOLIS, MN 55416 |
 |  |  | Member of a 10% owner group |
/s/ Peter O. Haeg, CFO of Farnam Street Capital, Inc., G.P. | 11/20/2017 | |
**Signature of Reporting Person | Date |
* | 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). |
 Remarks: The filing persons may be considered a 10% beneficial owner because they share beneficial ownership of the shares disclosed herein with another group, and the two groups may together be considered a "group" for purposes of Rule 13d-1. The filing persons (i) disclaim beneficial ownership of any shares of the issuer, other than the 418,169 shares reported herein, beneficially owned by the other group and (ii) disclaim the existence of any such Section 13(d) "group" with the other group. |