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Umh — Director's Dealing 2026
Feb 3, 2026
7099_rns_2026-02-03_b529f3a0-e088-44c9-af7a-8021c4f9debd.pdf
Director's Dealing
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{0}------------------------------------------------
SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
| OMB APPROVAL | |
|---|---|
| OMB Number: | 3235-0287 |
| Estimated average burden | |
obligations may continue. See Instruction 1(b).
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Check this box if no longer subject to hours per response: 0.5 Section 16. Form 4 or Form 5
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
| the purchase or sale of equity Instruction 10. |
securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See |
||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Koster Craig (Last) 3499 ROUTE 9 NORTH |
1. Name and Address of Reporting Person* (First) |
(Middle) | 2. Issuer Name and Ticker or Trading Symbol UMH PROPERTIES, INC. [ UMH ] 3. Date of Earliest Transaction (Month/Day/Year) 10/28/2025 |
X | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director Officer (give title below) EVP and General |
10% Owner below) |
Other (specify | ||||||
| SUITE 3C | Counsel | ||||||||||||
| (Street) FREEHOLD |
NJ | 07728 | 4. If Amendment, Date of Original Filed (Month/Day/Year) | Line) X |
6. Individual or Joint/Group Filing (Check Applicable Form filed by One Reporting Person |
||||||||
| (City) | (State) | (Zip) | Form filed by More than One Reporting Person |
||||||||||
| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||
| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) |
2A. Deemed Execution Date, if any (Month/Day/Year) |
3. Transaction Code (Instr. 8) |
4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following |
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) |
7. Nature of Indirect Beneficial Ownership |
||||||
| Code | V | Amount | (A) or (D) |
Price | Reported Transaction(s) (Instr. 3 and 4) |
(Instr. 4) | |||||||
| UMH Properties, Inc. | 10/28/2025 | D | 11,333.17(1) | D | \$0 | 115,219.28 | D | ||||||
| UMH Properties, Inc. 01/30/2026 |
A | 4,159(2) | A | \$15.63 | 119,378.28 | D | |||||||
| UMH Properties, Inc. (Preferred D) | 337.002 | D | |||||||||||
| Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
|||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security |
3. Transaction Date (Month/Day/Year) |
3A. Deemed Execution Date, if any (Month/Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
||||
| Code | V | (A) | (D) | Date Exercisable |
Expiration Date |
Title | Amount or Number of Shares |
||||||||
| UMH Properties, Inc. |
\$15.66 | 03/26/2025 03/26/2034 | UMH Properties, Inc. |
50,000 | 50,000 | D | |||||||||
| UMH Properties, Inc. |
\$14.36 | 03/21/2024 03/21/2033 | UMH Properties, Inc. |
75,000 | 75,000 | D | |||||||||
| UMH Properties, Inc. |
\$23.81 | 03/28/2023 03/28/2032 | UMH Properties, Inc. |
39,000 | 39,000 | D | |||||||||
| UMH Properties, Inc. |
\$22.57 | 07/14/2022 07/14/2031 | UMH Properties, Inc. |
50,000 | 50,000 | D | |||||||||
| UMH Properties, Inc. |
\$9.7 | 03/25/2021 03/25/2030 | UMH Properties, Inc. |
30,000 | 30,000 | D | |||||||||
| UMH Properties, Inc. |
\$11.42 | 01/02/2020 01/02/2029 | UMH Properties, Inc. |
20,000 | 20,000 | D | |||||||||
| UMH Properties, Inc. |
\$13.09 | 04/02/2019 04/02/2028 | UMH Properties, Inc. |
20,000 | 20,000 | D | |||||||||
| UMH Properties, Inc. |
\$15.04 | 04/04/2018 04/04/2027 | UMH Properties, Inc. |
20,000 | 20,000 | D | |||||||||
| UMH Properties, Inc. |
\$16.86 | 06/16/2026 06/16/2035 | UMH Properties, Inc. |
50,000 | 50,000 | D |
{1}------------------------------------------------
Explanation of Responses:
-
- Voluntary surrender to the Company of restricted stock award granted January 7, 2025, and related dividend reinvestment shares.
-
- Restricted stock granted to the named executive officers under the Company's 2023 Equity Incentive Award Plan to vest ratably over three years on the anniversary of the grant date.
Nelli Madden 02/02/2026
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
- * If the form is filed by more than one reporting person, see Instruction 4 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
{2}------------------------------------------------
SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
| OMB APPROVAL | |
|---|---|
| OMB Number: | 3235-0287 |
| Estimated average burden |
obligations may continue. See Instruction 1(b).
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Check this box if no longer subject to hours per response: 0.5 Section 16. Form 4 or Form 5
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See
| 1. Name and Address of Reporting Person* | 2. Issuer Name and Ticker or Trading Symbol UMH PROPERTIES, INC. [ UMH ] |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| LANDY SAMUEL A | X | Director | 10% Owner | |||||||
| (Last) | (First) | (Middle) | X | Officer (give title below) |
Other (specify below) |
|||||
| 3499 US HWY 9 | 3. Date of Earliest Transaction (Month/Day/Year) 10/28/2025 |
President | ||||||||
| SUITE 3C | and CEO | |||||||||
| (Street) | 4. If Amendment, Date of Original Filed (Month/Day/Year) | Line) | 6. Individual or Joint/Group Filing (Check Applicable | |||||||
| FREEHOLD | NJ | 07728 | X | Form filed by One Reporting Person | ||||||
| (City) | (State) | (Zip) | Form filed by More than One Reporting Person |
|||||||
| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) |
2A. Deemed Execution Date, if any (Month/Day/Year) |
3. Transaction Code (Instr. 8) |
4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following |
6. Ownership Form: Direct (D) or Indirect (I) |
7. Nature of Indirect Beneficial Ownership (Instr. |
|||||
| Code | V | Amount | (A) or (D) |
Price | Reported Transaction(s) (Instr. 3 and 4) |
(Instr. 4) | 4) | |||||
| UMH Properties, Inc. | 10/28/2025 | D | 92,992.476(1) | D | \$0 | 968,214.704 | D | |||||
| UMH Properties, Inc. | 01/30/2026 | A | 34,122(2) | A | \$15.63 1,002,336.704 | D | ||||||
| UMH Properties, Inc. | 12,127.31 | I | Held by Spouse |
|||||||||
| UMH Properties, Inc. | 41,359.12 | I | Held with Spouse |
|||||||||
| UMH Properties, Inc. | 50,798.71 | I | The Landy 2022 Family Trust |
|||||||||
| UMH Properties, Inc. | 48,000 | I | Co-Manager of EWL Grandchildren Fund LLC |
| Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
|||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security |
3. Transaction Date (Month/Day/Year) |
3A. Deemed Execution Date, if any (Month/Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of (A) or of (D) and 5) |
Derivative Securities Acquired Disposed (Instr. 3, 4 |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
|||||
| Code | V | (A) | (D) | Date Exercisable |
Expiration Date |
Title | Amount or Number of Shares |
||||||||||
| UMH Properties, Inc. |
\$14.36 | 03/21/2024 03/21/2033 | UMH Properties, Inc. |
29,500 | 29,500 | D | |||||||||||
| UMH Properties, Inc. |
\$13.09 | 04/02/2019 04/02/2028 | UMH Properties, Inc. |
50,000 | 50,000 | D | |||||||||||
| UMH Properties, Inc. |
\$15.04 | 04/04/2018 04/04/2027 | UMH Properties, Inc. |
50,000 | 50,000 | D | |||||||||||
| UMH Properties, Inc. |
\$14.25 | 01/19/2018 01/19/2027 | UMH Properties, Inc. |
50,000 | 50,000 | D |
Explanation of Responses:
{3}------------------------------------------------
-
Voluntary surrender to the Company of restricted stock award granted January 7, 2025, and related dividend reinvestment shares.
-
Restricted stock granted to the named executive officers under the Company's 2023 Equity Incentive Award Plan to vest ratably over three years on the anniversary of the grant date.
Nelli Madden 02/02/2026
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
- * If the form is filed by more than one reporting person, see Instruction 4 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
{4}------------------------------------------------
SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
or Section 30(h) of the Investment Company Act of 1940
| OMB APPROVAL | |
|---|---|
| OMB Number: | 3235-0287 |
| Estimated average burden | |
Check this box if no longer subject to hours per response: 0.5 Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
| 1. Name and Address of Reporting Person* | 2. Issuer Name and Ticker or Trading Symbol UMH PROPERTIES, INC. [ UMH ] |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) |
||||||
|---|---|---|---|---|---|---|---|---|
| CHEW ANNA T | X | Director | 10% Owner | |||||
| (Last) SUITE 3C |
(First) (Middle) 3499 ROUTE 9 NORTH |
3. Date of Earliest Transaction (Month/Day/Year) 10/28/2025 |
X | Officer (give title below) EVP and CFO |
Other (specify below) |
|||
| (Street) FREEHOLD (City) |
NJ (State) |
07728 (Zip) |
4. If Amendment, Date of Original Filed (Month/Day/Year) | Line) X |
6. Individual or Joint/Group Filing (Check Applicable Form filed by One Reporting Person Form filed by More than One Reporting Person |
| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) |
2A. Deemed Execution Date, if any (Month/Day/Year) |
3. Transaction Code (Instr. 8) |
4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following |
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr. 4) |
||||||
| Code | V | Amount | (A) or (D) |
Price | Reported Transaction(s) (Instr. 3 and 4) |
||||||||
| UMH Properties, Inc. | 10/28/2025 | D | 72,650.112(1) | D | \$0 | 1,048,927.078 | D | ||||||
| UMH Properties, Inc. | 01/30/2026 | A | 26,658(2) | A | \$15.63 | 1,075,585.078 | D |
| Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
|||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security |
3. Transaction Date (Month/Day/Year) |
3A. Deemed Execution Date, if any (Month/Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
||||
| Code | V | (A) | (D) | Date Exercisable |
Expiration Date |
Title | Amount or Number of Shares |
||||||||
| UMH Properties, Inc. |
\$15.66 | 03/26/2025 03/26/2034 | UMH Properties, Inc. |
50,000 | 50,000 | D | |||||||||
| UMH Properties, Inc. |
\$14.36 | 03/21/2024 03/21/2033 | UMH Properties, Inc. |
75,000 | 75,000 | D | |||||||||
| UMH Properties, Inc. |
\$23.81 | 03/28/2023 03/28/2032 | UMH Properties, Inc. |
39,000 | 39,000 | D | |||||||||
| UMH Properties, Inc. |
\$22.57 | 07/14/2022 07/14/2031 | UMH Properties, Inc. |
50,000 | 50,000 | D | |||||||||
| UMH Properties, Inc. |
\$9.7 | 03/25/2021 03/25/2030 | UMH Properties, Inc. |
20,000 | 20,000 | D | |||||||||
| UMH Properties, Inc. |
\$13.9 | 04/02/2020 04/02/2029 | UMH Properties, Inc. |
50,000 | 50,000 | D | |||||||||
| UMH Properties, Inc. |
\$15.04 | 04/04/2018 04/04/2027 | UMH Properties, Inc. |
50,000 | 50,000 | D | |||||||||
| UMH Properties, Inc. |
\$14.25 | 01/19/2018 01/19/2027 | UMH Properties, Inc. |
10,000 | 10,000 | D | |||||||||
| UMH Properties, Inc. |
\$16.86 | 06/16/2026 06/16/2035 | UMH Properties, Inc. |
50,000 | 50,000 | D |
Explanation of Responses:
1. Voluntary surrender to the Company of restricted stock award granted January 7, 2025, and related dividend reinvestment shares.
{5}------------------------------------------------
- Restricted stock granted to the named executive officers under the Company's 2023 Equity Incentive Award Plan to vest ratably over three years on the anniversary of the grant date.
Nelli Madden 02/02/2026
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
- * If the form is filed by more than one reporting person, see Instruction 4 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
{6}------------------------------------------------
SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
| OMB APPROVAL | |
|---|---|
| OMB Number: | 3235-0287 |
| Estimated average burden | |
Owned Following Reported Transaction(s) (Instr. 3 and 4)
(I) (Instr. 4)
Ownership (Instr. 4)
obligations may continue. See Instruction 1(b).
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Check this box if no longer subject to hours per response: 0.5 Section 16. Form 4 or Form 5
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
| Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
|---|
| 1. Name and Address of Reporting Person* |
| Taft Brett (Last) 3499 ROUTE 9 , SUITE 3C |
1. Name and Address of Reporting Person* (First) |
(Middle) | 2. Issuer Name and Ticker or Trading Symbol UMH PROPERTIES, INC. [ UMH ] 3. Date of Earliest Transaction (Month/Day/Year) 10/28/2025 |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner Officer (give title Other (specify X below) below) EVP and COO |
||||||
|---|---|---|---|---|---|---|---|---|---|---|
| (Street) FREEHOLD (City) |
NJ (State) |
07728 (Zip) |
4. If Amendment, Date of Original Filed (Month/Day/Year) | Line) X |
6. Individual or Joint/Group Filing (Check Applicable Form filed by One Reporting Person Form filed by More than One Reporting Person |
|||||
| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
| 1. Title of Security (Instr. 3) Date |
2. Transaction (Month/Day/Year) |
2A. Deemed Execution Date, if any |
3. Transaction Code (Instr. |
4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially |
6. Ownership Form: Direct (D) or Indirect |
7. Nature of Indirect Beneficial |
| Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned |
|---|
| (e.g., puts, calls, warrants, options, convertible securities) |
8)
Code V Amount (A) or
(D) Price
(Month/Day/Year)
UMH Properties, Inc. 10/28/2025 D 13,367.3(1) D \$0 123,238.98 D UMH Properties, Inc. 01/30/2026 A 4,905(2) A \$15.63 128,143.97 D
| 1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security |
3. Transaction Date (Month/Day/Year) |
3A. Deemed Execution Date, if any (Month/Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Code | V | (A) | (D) | Date Exercisable |
Expiration Date |
Title | Amount or Number of Shares |
||||||||
| UMH Properties, Inc. |
\$15.66 | 03/26/2024 03/26/2034 | UMH Properties, Inc. |
50,000 | 50,000 | D | |||||||||
| UMH Properties, Inc. |
\$14.36 | 03/21/2024 03/21/2033 | UMH Properties, Inc. |
75,000 | 75,000 | D | |||||||||
| UMH Properties, Inc. |
\$23.81 | 03/28/2023 03/28/2032 | UMH Properties, Inc. |
39,000 | 39,000 | D | |||||||||
| UMH Properties, Inc. |
\$22.57 | 07/14/2022 07/14/2031 | UMH Properties, Inc. |
50,000 | 50,000 | D | |||||||||
| UMH Properties, Inc. |
\$9.7 | 03/25/2021 03/25/2030 | UMH Properties, Inc. |
50,000 | 50,000 | D | |||||||||
| UMH Properties, Inc. |
\$11.42 | 01/02/2020 01/02/2029 | UMH Properties, Inc. |
40,000 | 40,000 | D | |||||||||
| UMH Properties, Inc. |
\$13.09 | 04/02/2019 04/02/2028 | UMH Properties, Inc. |
20,000 | 20,000 | D | |||||||||
| UMH Properties, Inc. |
\$15.04 | 04/04/2018 04/04/2027 | UMH Properties, Inc. |
20,000 | 20,000 | D | |||||||||
| UMH Properties, Inc. |
\$16.86 | 06/16/2026 06/16/2035 | UMH Properties, Inc. |
50,000 | 50,000 | D |
Explanation of Responses:
-
- Voluntary surrender to the Company of restricted stock award granted January 7, 2025, and related dividend reinvestment shares.
-
- Restricted stock granted to the named executive officers under the Company's 2023 Equity Incentive Award Plan to vest ratably over three years on the anniversary of the grant date.
{7}------------------------------------------------
Nelli Madden 02/02/2026
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).