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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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.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
SCHWARTZBERG DEBBIE

(Last) (First) (Middle)
785 5TH AVENUE

(Street)
NEW YORK NY US 10022

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SRKP 10 INC [ [NONE] ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2008
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 Stock, par value $.0001 03/05/2008 03/05/2008 G4 200,000 D $0(4) 772,000(1) D
Common Stock, par value $.0001 03/05/2008 03/05/2008 G4 100,000 A $0(4) 100,000 I(2) By Self as Trustee of the Trusts (as defined in footnote 1)
Common Stock, par value $.0001 03/05/2008 03/05/2008 G4 100,000 A $0(4) 100,000 I(3) By Self as Trustee of the Trusts (as defined in footnote 1)
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. Excludes an aggregate of 200,000 shares of common stock held of record by Debbie Schwartzberg and Gil N. Schwartzberg as Trustees for the David N. Sterling Trust dated 2/3/2000 and the Julie Schwartzberg Trust dated 2/9/2000 (together, the "Trusts").
2. Represents securities owned of record by the David N. Sterling Trust, dated 2/3/2000, established by the reporting person for the benefit of her children. A gift of 100,000 shares of the Issuer's common stock, par value $.0001, was made by the reporting person to the trust on the transaction date indicated above. Mrs. Schwartzberg has voting and investment control over the securities and thus may be deemed beneficial owner of the securities held by the trust.
3. Represents securities owned of record by the Julie Schwartzberg Trust, dated 2/9/2000, established by the reporting person for the benefit of her children. A gift of 100,000 shares of the Issuer's common stock, par value $.0001, was made by the reporting person to the trust on the transaction date indicated above. Mrs. Schwartzberg has voting and investment control over the securities and thus may be deemed beneficial owner of the securities held by the trust.
4. On March 5, 2008, the Reporting Person transferred by way of gift, 200,000 shares of common stock to the Trusts for the benefit of her children. There were no amounts paid to the Reporting Person by the Trusts for the transferred shares.
/s/Debbie Schwartzberg 02/13/2009
** 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.
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.