SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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OMB Number: 3235-0362
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
  
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
DMITROWSKY IGOR

(Last) (First) (Middle)
BLDG 151 - RM 361 - BALTIA AIR LINES INC
JFK INTERNATIONAL AIRPORT

(Street)
JAMAICA NY 11430

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BALTIA AIR LINES INC [ BLTA ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
President
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2014
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X 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 at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Shares 12/16/2014(3) J5 8,500(1) D $0.015(2) 851,654,266(4) 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)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. This represents shares that were apparently sold or otherwise disposed of by the broker for payment of brokerage fees for holding the reporting person's shares since 5/19/2011. It is the difference between the original transfer of 54,000,000 shares to the broker on that date and the re-listing of those shares, in the reduced amount of 53,991,500, in the name of the reporting person by the transfer agent on 12/16/2014. At present it is unknown when those shares were sold, or transferred to another account as appears to be the case.
2. Inasmuch as it is unknown when said shares were transferred by the holding Broker, apparently for fees, sometime between May 2011 and 11/22/2013, the best estimate of the value of those shares is .015 which represents a price between .01 and .02 which is the general range of market price fluctuations during that period.
3. This is the date that shares, originally issued to a broker on May 19, 2011 in the amount of 54,000,000, were returned to the Company's Transfer Agent for listing in the reporting person's name, reduced by 8,500 shares.
4. This number derives from a recent audit of share ownership of the company, and includes 54,000,000 originally reported as "cancelled due to administrative error" on May 19, 2011 when in fact they were transferred into CEDE and CO FAST for listing in a brokerage account for the benefit of the reporting person.
Remarks:
The Form 5 filed on 10/23/2012 (for Fiscal Year 2011) erroneously recorded a transfer to a broker as a disposition of 54,000,000 shares, reducing overall ownership by the reporting person by that number of shares. This error was discovered on a recent audit of the share ownership provoked by the re-listing of the shares with the transfer agent from the broker in the amount of 53,991,500 on December 16, 2014.
Igor Dmitrowsky by Albert Z Lewis POA 04/30/2015
** 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).
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