1
|
NAME OF REPORTING PERSONS
John Robert Sierra Sr. Revocable Family Trust
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2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
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(a) ☐
(b) ☐ |
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3
|
SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
State of Florida, United States
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NUMBER OF
SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5
|
SOLE VOTING POWER
0
|
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6
|
SHARED VOTING POWER
225,000*
|
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7
|
SOLE DISPOSITIVE POWER
0
|
||||
8
|
SHARED DISPOSITIVE POWER
225,000*
|
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
225,000*
|
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10
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE
INSTRUCTIONS)
|
☐
|
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11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
9.9%**
|
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12
|
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
OO
|
1
|
NAME OF REPORTING PERSONS
John Robert Sierra Sr., as Trustee of John Robert Sierra Sr Revocable Family Trust
|
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2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
|
(a) ☐
(b) ☐ |
|||
3
|
SEC USE ONLY
|
||||
4
|
CITIZENSHIP OR PLACE OF ORGANIZATION
United States
|
||||
NUMBER OF
SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5
|
SOLE VOTING POWER
0
|
|||
6
|
SHARED VOTING POWER
225,000*
|
||||
7
|
SOLE DISPOSITIVE POWER
0
|
||||
8
|
SHARED DISPOSITIVE POWER
225,000*
|
||||
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
225,000*
|
||||
10
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE
INSTRUCTIONS)
|
☐
|
|||
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
9.9%**
|
||||
12
|
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
OO
|
Item 1(a). |
Name of Issuer:
|
Item 1(b). |
Address of Issuer’s Principal Executive Offices:
|
Item 2(a). |
Name of Person Filing:
|
Item 2(b). |
Address of Principal Business Office or, if none, Residence:
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Item 2(c). |
Citizenship:
|
Item 2(d). |
Title of Class of Securities:
|
Item 2(e). |
CUSIP Number:
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Item 3. |
If this statement is filed pursuant to sections 240.13d-1(b), or 240.13d-2(b) or (c),
check whether the person filing is a:
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Item 4. |
Ownership:
|
(a) |
Amount Beneficially Owned: 225,000 shares of common stock owned by the Trust. The amount includes 100,000 warrants to purchase shares of common stock. John Robert
Sierra Sr. is the sole trustee of the Trust, and by virtue of such relationship, is deemed to have shared voting and investment power with respect to the common stock held by the Trust.
|
(b) |
Percent of Class: 9.9% (Percent of class is calculated based on 2,172,950 shares of Common Stock of the Issuer outstanding as of February 10, 2022).
|
(c) |
Number of shares as to which such person has:
|
(i) |
sole power to vote or to direct the vote: 0
|
(ii) |
shared power to vote or to direct the vote: 225,000
|
(iii) |
sole power to dispose or to direct the disposition of: 0
|
(iv) |
shared power to dispose or to direct the disposition of: 225,000
|
Item 5. |
Ownership of Five Percent or Less of a Class:
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Item 6. |
Ownership of More than Five Percent on Behalf of Another Person:
|
Item 7. |
Identification and Classification of the Subsidiary Which Acquired the Security Being
Reported on by the Parent Holding Company or Control Person:
|
Item 8. |
Identification and Classification of Members of the Group:
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Item 9. |
Notice of Dissolution of Group:
|
Item 10. |
Certification:
|