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4/A//SEC Filing

POLINSKY DOUGLAS MICHAEL 4/A

Accession 0001104659-22-123844

CIK 0001425355other

Filed

Nov 30, 7:00 PM ET

Accepted

Dec 1, 9:57 PM ET

Size

8.9 KB

Accession

0001104659-22-123844

Insider Transaction Report

Form 4/AAmended
Period: 2022-11-23
POLINSKY DOUGLAS MICHAEL
DirectorChief Executive Officer10% Owner
Transactions
  • Award

    Non-qualified stock options

    2022-11-23+250,000250,000 total
    Exercise: $2.12From: 2022-11-23Exp: 2032-11-22Common stock (250,000 underlying)
Holdings
  • Common Stock

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

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

    262,763
Footnotes (5)
  • [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]Options were issued to the reporting person pursuant to an award approved, without restrictions, by the Compensation Committee of the Board of Directors of the issuer on November 23, 2022. The exercise price is the closing market price of the common stock on the date of the award.
  • [F5]The options are not exercisable by their terms unless and until the related equity compensation plan shall have been approved by the issuer's shareholders.

Issuer

Mill City Ventures III, Ltd

CIK 0001425355

Entity typeother

Related Parties

1
  • filerCIK 0001394819

Filing Metadata

Form type
4/A
Filed
Nov 30, 7:00 PM ET
Accepted
Dec 1, 9:57 PM ET
Size
8.9 KB