Initial commit
This commit is contained in:
kdusek
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<!doctype html public "-//w3c//dtd xhtml">
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<html>
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<head>
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<title>{{ html_title }}</title>
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<style>
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body {font-family: Arial, sans-serif; margin: 20px; font-size: 9pt; color: #000;}
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table {border-collapse: collapse; width: 100%;}
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th, td {border: 1px solid #777; padding: 3px; text-align: left; vertical-align: top; font-size:8pt;}
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th {background-color: #f0f0f0; font-weight: bold; text-align:center;}
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.TableCell {font-size:8pt;}
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.Centered {text-align: center;}
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.Right {text-align: right;}
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.Bold {font-weight: bold;}
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.SmallText {font-size: 7pt;}
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.FormTitle {font-size: 12pt; font-weight: bold; text-align: center; margin-bottom: 5px;}
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.Header {font-size: 10pt; font-weight: bold; text-align: center; margin-bottom: 5px;}
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.SubHeader {font-size: 9pt; text-align: center; margin-bottom: 15px;}
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.SectionHeader {font-size: 10pt; font-weight: bold; margin-top: 10px; margin-bottom: 5px;}
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.IssuerInfo, .ReportingOwnerInfo {border: 1px solid #000; padding: 5px; margin-bottom:10px; width: 48%; display:inline-block; vertical-align:top;}
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.InfoBoxTable td {border:none; font-size:8pt; padding:1px;}
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.Footnotes {margin-top: 20px; font-size: 8pt;}
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.FootnoteList {list-style-type: none; padding-left: 0;}
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.FootnoteList li {margin-bottom: 3px;}
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.SignatureBlock {margin-top:30px; font-size:9pt;}
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.SignatureBlock .SignatureDate {float:right;}
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.Remarks {margin-top:15px; font-size:9pt;}
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.RemarkText {margin-left:10px; font-size:8pt;}
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.Checkbox {display: inline-block; width: 12px; height: 12px; border: 1px solid #000; text-align: center; line-height: 12px;}
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.NoBorder, .NoBorder td, .NoBorder th {border: none;}
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</style>
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</head>
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<body>
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{% block content %}{% endblock %}
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</body>
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</html>
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@@ -0,0 +1,234 @@
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{% extends "base.html" %}
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{% block content %}
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<!-- OMB Header -->
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<div class="SmallText Right">
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OMB APPROVAL<br>
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OMB Number: 3235-0287<br>
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Estimated average burden<br>
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hours per response: 0.5
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</div>
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<div class="FormTitle">{{ form_name_display }}</div>
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<div class="SubHeader">Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). <span class="Checkbox"></span></div>
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<div class="Header">UNITED STATES SECURITIES AND EXCHANGE COMMISSION<br>Washington, D.C. 20549</div>
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<div class="Header">{{ form_title_display }}</div>
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<div class="SmallText Centered" style="margin-bottom:10px;">Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934<br>or Section 30(h) of the Investment Company Act of 1940</div>
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<table class="NoBorder" style="margin-bottom:10px;">
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<tr>
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<td style="width:60%; vertical-align:top;">
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<div><span class="Bold">1. Name and Address of Reporting Person*</span></div>
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<div style="margin-left:10px; margin-top:2px;">
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{{ reporting_owner_name_str }}<br>
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{{ reporting_owner_address_str|safe }}
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</div>
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<div style="margin-top:5px;"><span class="Bold">1a. IRS/SSN Identification Number of Reporting Person</span></div>
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<div style="margin-left:10px; margin-top:2px;"> </div>
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</td>
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<td style="width:40%; vertical-align:top;">
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<div><span class="Bold">2. Issuer Name and Ticker or Trading Symbol</span></div>
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<div style="margin-left:10px; margin-top:2px;">{{ issuer_name }} [{{ ticker }}]</div>
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<div style="margin-top:5px;"><span class="Bold">3. Date of Earliest Transaction (Month/Day/Year)</span></div>
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<div style="margin-left:10px; margin-top:2px;">{{ reporting_period }}</div>
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<div style="margin-top:5px;"><span class="Bold">4. If Amendment, Date of Original Filed (Month/Day/Year)</span></div>
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<div style="margin-left:10px; margin-top:2px;"> </div>
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</td>
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</tr>
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<tr>
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<td colspan="2" style="padding-top:5px;">
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<span class="Bold">5. Relationship of Reporting Person(s) to Issuer</span><br>
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<span class="SmallText">(Check all applicable)</span>
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<div style="margin-left:10px; margin-top:2px;">
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<span class="Checkbox">{% if is_director %}X{% else %} {% endif %}</span> Director
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<span class="Checkbox">{% if is_officer %}X{% else %} {% endif %}</span> Officer (give title below)
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<span class="Checkbox">{% if is_ten_pct_owner %}X{% else %} {% endif %}</span> 10% Owner <br>
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<span class="Checkbox">{% if is_other %}X{% else %} {% endif %}</span> Other (specify below)
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<div style="margin-left:25px; margin-top:2px; font-size:7pt;">{{ officer_title }}</div>
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<div style="margin-left:25px; margin-top:2px; font-size:7pt;">{{ relationship_str }}</div>
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</div>
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</td>
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</tr>
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<tr>
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<td colspan="2" style="padding-top:5px;">
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<span class="Bold">6. Individual or Joint/Group Filing (Check Applicable Line)</span>
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<div style="margin-left:10px; margin-top:2px;">
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<span class="Checkbox">{% if is_individual_filing %}X{% else %} {% endif %}</span> Form filed by One Reporting Person<br>
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<span class="Checkbox">{% if is_joint_filing %}X{% else %} {% endif %}</span> Form filed by More than One Reporting Person
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</div>
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</td>
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</tr>
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</table>
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<!-- Table I - Non-Derivative Securities -->
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<h4 class="SectionHeader" style="text-align:center;">
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Table I - Non-Derivative Securities {% if form_type == '3' %}Beneficially Owned{% else %}Acquired, Disposed of, or Beneficially Owned{% endif %}
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</h4>
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<table class="ReportTable">
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<thead>
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{% if form_type == '3' %}
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<!-- Form 3 Table I Header -->
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<tr>
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<th>1. Title of Security (Instr. 3)</th>
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<th>2. Amount of Securities Beneficially Owned (Instr. 4)</th>
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<th>3. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)</th>
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<th>4. Nature of Indirect Beneficial Ownership (Instr. 4)</th>
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</tr>
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{% else %}
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<!-- Forms 4 & 5 Table I Header -->
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<tr>
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<th rowspan="2">1. Title of Security (Instr. 3)</th>
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<th rowspan="2">2. Transaction Date (Month/Day/Year)</th>
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<th rowspan="2">2A. Deemed Execution Date, if any (Month/Day/Year)</th>
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<th colspan="2">3. Transaction Code (Instr. 8)</th>
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<th colspan="3">4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)</th>
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<th rowspan="2">5. Amount of Securities Beneficially<br/>Owned Following Reported Transaction(s)<br/>(Instr. 3 and 4)</th>
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<th rowspan="2">6. Ownership Form: Direct (D) or Indirect (I) <br/>(Instr. 4)</th>
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<th rowspan="2">7. Nature of Indirect Beneficial Ownership <br/>(Instr. 4)</th>
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</tr>
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<tr>
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<th>Code</th>
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<th>V</th>
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<th>Amount</th>
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<th>(A) or (D)</th>
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<th>Price</th>
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</tr>
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{% endif %}
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</thead>
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<tbody>
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{% if non_deriv_rows %}
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{% for row in non_deriv_rows %}
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<tr>
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{% for cell in row %}
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{{ cell|safe }}
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{% endfor %}
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</tr>
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{% endfor %}
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{% else %}
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<tr>
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<td colspan="{% if form_type == '3' %}4{% else %}11{% endif %}" class="Centered">No non-derivative securities reported</td>
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</tr>
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{% endif %}
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</tbody>
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</table>
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<!-- Table II - Derivative Securities -->
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<h4 class="SectionHeader" style="text-align:center; margin-top:20px;">
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{% if form_type == '3' %}
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Table II - Derivative Securities Beneficially Owned
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{% else %}
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
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{% endif %}
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<br>
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<span style="font-weight:normal; font-size:8pt;">(e.g., puts, calls, warrants, options, convertible securities)</span>
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</h4>
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<table class="ReportTable">
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<thead>
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{% if form_type == '3' %}
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<!-- Form 3 Table II Header -->
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<tr>
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<th>1. Title of Derivative Security (Instr. 5)</th>
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<th>2. Date Exercisable and Expiration Date (Month/Day/Year)</th>
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<th>3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)</th>
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<th>4. Conversion or Exercise Price of Derivative Security</th>
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<th>5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)</th>
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<th>6. Nature of Indirect Beneficial Ownership (Instr. 5)</th>
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</tr>
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{% else %}
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<!-- Forms 4 & 5 Table II Header -->
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<tr>
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<th rowspan="2">1. Title of Derivative Security (Instr. 5)</th>
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<th rowspan="2">2. Conversion or Exercise Price of Derivative Security</th>
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<th rowspan="2">3. Transaction Date (Month/Day/Year)</th>
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<th rowspan="2">3A. Deemed Execution Date, if any (Month/Day/Year)</th>
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<th colspan="2">4. Transaction Code (Instr. 8)</th>
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<th colspan="2">5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)</th>
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<th rowspan="2">6. Date Exercisable and Expiration Date (Month/Day/Year)</th>
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<th rowspan="2">7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)</th>
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<th rowspan="2">8. Price of Derivative Security</th>
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<th rowspan="2">9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)</th>
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<th rowspan="2">10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)</th>
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<th rowspan="2">11. Nature of Indirect Beneficial Ownership (Instr. 5)</th>
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</tr>
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<tr>
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<th>Code</th>
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<th>V</th>
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<th>Amount or Number of Shares</th>
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<th>(A) or (D)</th>
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</tr>
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{% endif %}
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</thead>
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<tbody>
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{% if deriv_rows %}
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{% for row in deriv_rows %}
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<tr>
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{% for cell in row %}
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{{ cell|safe }}
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{% endfor %}
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</tr>
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{% endfor %}
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{% else %}
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<tr>
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<td colspan="{% if form_type == '3' %}6{% else %}16{% endif %}" class="Centered">No derivative securities reported</td>
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</tr>
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{% endif %}
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</tbody>
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</table>
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<!-- Remarks Section -->
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{% if remarks %}
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<div class="Remarks">
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<span class="Bold">Remarks:</span><br>
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<div class="RemarkText">{{ remarks }}</div>
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</div>
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{% endif %}
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<!-- Footnotes Section -->
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{% if footnotes %}
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<div class="Footnotes">
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<h4 class="SectionHeader">Explanation of Responses:</h4>
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<div class="FootnoteList">
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{% for footnote in footnotes %}
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<li><span class="Bold">{{ footnote.id }}:</span> {{ footnote.text }}</li>
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{% endfor %}
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</div>
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</div>
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{% endif %}
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<!-- Signature Section -->
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<div class="SignatureBlock">
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<table style="width:auto; border:none;">
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<tr>
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{% if sig_name %}
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<td style="padding-right:30px;">
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<div class="SmallText">** Signature of Reporting Person</div>
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<div>/s/ {{ sig_name }}</div>
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</td>
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{% else %}
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<td></td>
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{% endif %}
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{% if sig_date %}
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<td>
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<div class="SmallText">Date</div>
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<div>{{ sig_date }}</div>
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</td>
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{% else %}
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<td></td>
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{% endif %}
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</tr>
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</table>
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</div>
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<!-- Disclaimer and OMB Notice -->
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<div style="margin-top:10px; font-size:7pt; font-style:italic;">
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Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.<br>
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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 Number.
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</div>
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{% endblock %}
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