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 | ||||
Senior Secured Convertible Note | Â (3) | Â (3) | Common Stock | 1,321,586 | $ 2.27 | I | by Loeb Holding Corporation |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Estate of Thomas L. Kempner STROOCK & STROOCK & LAVAN LLP 180 MAIDEN LANE NEW YORK, NY 10038 |
 |  X |  |  |
Kempner Ann C/O LOEB HOLDING CORPORATION 100 WALL STREET, 19TH FLOOR NEW YORK, NY 10005 |
 |  X |  |  |
Lev Bruce L C/O INTERSECTIONS INC. 3901 STONECROFT BOULEVARD CHANTILLY, VA 20151 |
 X |  X |  |  |
EPSTEIN MELVIN STROOCK & STROOCK & LAVAN 180 MAIDEN LANE NEW YORK, NY 10038 |
 |  X |  |  |
ESTATE of THOMAS L. KEMPNER, /s/ Bruce Lev, Bruce Lev, /s/ Melvin Epstein, Melvin Epstein, /s/ Ann Kempner, Ann Kempner, as Preliminary Co-Executors of the Estate of Thomas L. Kempner | 11/09/2018 | |
**Signature of Reporting Person | Date | |
BRUCE LEV, /s/ Bruce Lev, Bruce Lev, as Preliminary Co-Executor of the Estate of Thomas L. Kempner | 11/09/2018 | |
**Signature of Reporting Person | Date | |
MELVIN EPSTEIN, /s/ Melvin Epstein, Melvin Epstein, as Preliminary Co-Executor of the Estate of Thomas L. Kempner | 11/09/2018 | |
**Signature of Reporting Person | Date | |
ANN KEMPNER, /s/ Ann Kempner, Ann Kempner, as Preliminary Co-Executor of the Estate of Thomas L. Kempner | 11/09/2018 | |
**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). |
(1) | See Exhibit 99.1 |
(2) | See Exhibit 99.1 |
(3) | See Exhibit 99.1 |