Form 5 - Annual Statement of Beneficial Ownership

OMB 3235-0362

Form 5 is an annual statement of beneficial ownership used by officers, directors and ten percent shareholders of companies with securities registered under Section 12 of the Securities Exchange Act of 1934.

The latest form for Form 5 - Annual Statement of Beneficial Ownership expires 2023-07-31 and can be found here.

SEC filings made via the EDGAR database are searchable on SEC.report, along with a feed of the latest filings for OMB 3235-0362: Form 5 filings .

Latest Forms, Documents, and Supporting Material

Document Name
Form SEC 2270 Form 5 - Annual Statement of Beneficial Ownership Form
Release 33-11030.Supporting Statement.FinalFinal.pdf Supporting Statement A
March 22, 2023 EDGAR PIA.pdf Supplementary Document
Form 5 - Annual Statement of Beneficial Ownership Form

All Historical Document Collections

202308-3235-021 Comment filed on proposed rule and continue	Revision of a currently approved collection	2023-08-24
202307-3235-013 Approved without change	Extension without change of a currently approved collection	2023-07-21
202301-3235-011 Comment filed on proposed rule and continue	Revision of a currently approved collection	2023-01-10
202006-3235-008 Approved without change	Extension without change of a currently approved collection	2020-06-11
201704-3235-008 Approved without change	Extension without change of a currently approved collection	2017-04-26
201312-3235-022 Approved without change	Extension without change of a currently approved collection	2014-01-14
201111-3235-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-11-17
201010-3235-026 Approved without change	Extension without change of a currently approved collection	2010-10-29
201010-3235-025 Approved without change	Extension without change of a currently approved collection	2010-10-27
200711-3235-004 Approved without change	Extension without change of a currently approved collection	2007-11-20
200411-3235-007 Approved without change	Extension without change of a currently approved collection	2004-11-04
200111-3235-014 Approved without change	Extension without change of a currently approved collection	2001-11-28
199810-3235-001 Approved without change	Extension without change of a currently approved collection	1998-10-05
199509-3235-001 Approved without change	Revision of a currently approved collection	1995-09-05
199408-3235-004 Approved without change	Revision of a currently approved collection	1994-08-24
199403-3235-002 Approved without change	Revision of a currently approved collection	1994-03-04
199102-3235-016 Approved without change	Revision of a currently approved collection	1991-02-11
198908-3235-012 Approved without change	Revision of a currently approved collection	1989-08-28
198812-3235-005 Approved without change	New collection (Request for a new OMB Control Number)	1988-12-06