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Ownership Summary Table
Name | Sole Voting Power | Shared Voting Power | Sole Dispositive Power | Shared Dispositive Power | Aggregate Amount Owned Power | Percent of Class |
---|---|---|---|---|---|---|
Elliott Associates | 762,030 | 0 | 762,030 | 0 | 762,030 | 6.9% |
Elliott International | 0 | 1,619,315 | 0 | 1,619,315 | 1,619,315 | 14.7% |
Elliott International Capital Advisors Inc | 0 | 1,619,315 | 0 | 1,619,315 | 1,619,315 | 14.7% |
Page 1 of 7 – SEC Filing
(Name of Issuer)
(CUSIP Number)
Kleinberg, Kaplan, Wolff & Cohen, P.C.
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Page 2 of 7 – SEC Filing
1. | NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) |
Elliott Associates, L.P. | |
2. | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP |
(a) [x] | |
(b) [ ] | |
3. | SEC USE ONLY |
4. | SOURCE OF FUNDS |
WC | |
5. | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) [ ] |
6. | CITIZENSHIP OR PLACE OF ORGANIZATION |
Delaware | |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: | |
7. | SOLE VOTING POWER |
762,030 (1) | |
8. | SHARED VOTING POWER |
0 | |
9. | SOLE DISPOSITIVE POWER |
762,030 (1) | |
10. | SHARED DISPOSITIVE POWER |
0 | |
11. | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
762,030 (1) | |
12. | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES [ ] |
13. | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) |
6.9% (1) (2) | |
14. | TYPE OF REPORTING PERSON |
PN |
(1) | Represents 136,000 shares of Common Stock owned by Elliott Associates, L.P. and 626,030 shares of Common Stock issuable upon exercise of Warrants owned by Elliott Associates, L.P. The Reporting Persons (as defined below) are prevented from owning more than 17.2% of the shares of the issuer on a fully diluted basis without obtaining the consent of the North Dakota Insurance Commissioner. In addition, these shares do not include an additional 52,430 shares of Common Stock issuable upon exercise or conversion of Warrants expected to be received on or about July 15, 2017. |
(2) | For purposes of calculating beneficial ownership of the Reporting Persons, the total number of shares of Common Stock outstanding is based on (1) 9,093,330 shares of Common Stock outstanding as of May 11, 2017 as reported by the Issuer in its quarterly report on Form 10-Q filed with the Securities and Exchange Commission on May 12, 2017 and (2) 1,956,345 shares of Common Stock issuable upon exercise of the Warrants. |
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Page 3 of 7 – SEC Filing
1. | NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) |
Elliott International, L.P. | |
2. | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP |
(a) [x] | |
(b) [ ] | |
3. | SEC USE ONLY |
4. | SOURCE OF FUNDS |
WC | |
5. | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) [ ] |
6. | CITIZENSHIP OR PLACE OF ORGANIZATION |
Cayman Islands, British West Indies | |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: | |
7. | SOLE VOTING POWER |
0 | |
8. | SHARED VOTING POWER |
1,619,315 (1) | |
9. | SOLE DISPOSITIVE POWER |
0 | |
10. | SHARED DISPOSITIVE POWER |
1,619,315 (1) | |
11. | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
1,619,315 (1) | |
12. | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES [ ] |
13. | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) |
14.7% (1) (2) | |
14. | TYPE OF REPORTING PERSON |
PN |
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Page 4 of 7 – SEC Filing
1. | NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) |
Elliott International Capital Advisors Inc. | |
2. | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP |
(a) [x] | |
(b) [ ] | |
3. | SEC USE ONLY |
4. | SOURCE OF FUNDS |
OO | |
5. | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) [ ] |
6. | CITIZENSHIP OR PLACE OF ORGANIZATION |
Delaware | |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: | |
7. | SOLE VOTING POWER |
0 | |
8. | SHARED VOTING POWER |
1,619,315 (1) | |
9. | SOLE DISPOSITIVE POWER |
0 | |
10. | SHARED DISPOSITIVE POWER |
1,619,315 (1) | |
11. | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
1,619,315 (1) | |
12. | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES [ ] |
13. | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) |
14.7% (1) (2) | |
14. | TYPE OF REPORTING PERSON |
CO |
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Page 5 of 7 – SEC Filing
Item 4. | Purpose of Transaction. |
ITEM 5. | Interest in Securities of the Issuer. |
Item 6. | Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer. |
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Page 6 of 7 – SEC Filing
Item 7. | Material to be Filed as Exhibits. |
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Page 7 of 7 – SEC Filing
Dated: | June 16, 2017 |
ELLIOTT ASSOCIATES, L.P. | |||
By: Elliott Capital Advisors, L.P., as General Partner | |||
By: Braxton Associates, Inc., as General Partner | |||
By: | /s/ Elliot Greenberg | ||
Elliot Greenberg, | |||
Vice President | |||
ELLIOTT INTERNATIONAL, L.P. | |||
By: Elliott International Capital Advisors Inc., | |||
as Attorney-in-Fact | |||
By: | /s/ Elliot Greenberg | ||
Elliot Greenberg, | |||
Vice President | |||
ELLIOTT INTERNATIONAL CAPITAL ADVISORS INC. | |||
By: | /s/ Elliot Greenberg | ||
Elliot Greenberg, | |||
Vice President |