|4/ASep 23, 7:32 PM ET

POLINSKY DOUGLAS MICHAEL 4/A

4/A · Mill City Ventures III, Ltd · Filed Sep 23, 2022

Insider Transaction Report

Form 4/AAmended
Period: 2022-09-20
POLINSKY DOUGLAS MICHAEL
DirectorChief Executive Officer
Transactions
  • Award

    Common Stock

    2022-09-20$2.23/sh+5,784$12,898262,763 total
Holdings
  • Common Stock

    (indirect: By Great North Capital Corp.)
    30,850
  • Common Stock

    (indirect: By LLC)
    128,915
  • Common Stock

    256,979
Footnotes (4)
  • [F1]A Minnesota corporation of which the reporting person is the Chief Executive Officer.
  • [F2]A Minnesota limited liability company of which the reporting person is a member and manager. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest.
  • [F3]Of the reported amount, 10,000 common shares are held subject to forfeiture pursuant to a restricted stock agreement with the issuer under which all such shares are to vest, and forfeiture restrictions lapse, on January 24, 2023.
  • [F4]Shares were acquired by the reporting person pursuant to a stock award made by the issuer, upon approval of the full Board of Directors and election of the reporting person, in lieu of regular cash compensation (net of taxes) for the fiscal quarter ended September 30, 2022. The reported price is the closing market price of the common stock on the date of the stock award.

Documents

1 file
  • 4
    tm2226582-4_4aseq1.xml

    OWNERSHIP DOCUMENT