-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, EMyO4o7DayWDNX9MkINNyUyGOW7o8Fp4eSnxm4nTM7GedqB7pt74pJXpecqAeWOI SJKAYRQSFXMmYpYnz7eA6w== 0001144204-07-007088.txt : 20070213 0001144204-07-007088.hdr.sgml : 20070213 20070213142657 ACCESSION NUMBER: 0001144204-07-007088 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20070213 DATE AS OF CHANGE: 20070213 GROUP MEMBERS: ARTHUR LEE LOMAX 2005 GRANTOR RETAINED ANNUITY TRUST GROUP MEMBERS: GINA D. SILVESTRI FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Lomax Lee CENTRAL INDEX KEY: 0001340729 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: BUSINESS PHONE: 704-849-0860 X101 MAIL ADDRESS: STREET 1: C/O POKERTEK, INC. STREET 2: 1020 CREWS ROAD, SUITE J CITY: MATTHEWS STATE: NC ZIP: 28106 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: POKERTEK INC CENTRAL INDEX KEY: 0001302177 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS MANUFACTURING INDUSTRIES [3990] IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-81341 FILM NUMBER: 07608490 BUSINESS ADDRESS: STREET 1: 1020 CREWS ROAD STREET 2: SUITE J CITY: MATTHEWS STATE: NC ZIP: 28106 BUSINESS PHONE: 7048490867 MAIL ADDRESS: STREET 1: 1020 CREWS ROAD STREET 2: SUITE J CITY: MATTHEWS STATE: NC ZIP: 28106 SC 13G/A 1 v065326_sc13ga.htm
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
SCHEDULE 13G/A
(Amendment No. 1) 
(Rule 13d-102)
 
Information To Be Included In Statements Filed
Pursuant To Rules 13d-1(b), (c) And (d) And
Amendments Thereto Filed Pursuant To Rule 13d-2* 
 
POKERTEK, INC.

(Name of Issuer)
 
Common Stock, no par value

(Title of Class of Securities)
 
730864105

(CUSIP Number)
 
December 31, 2006

(Date of Event Which Requires Filing of This Statement)
 
Check the appropriate box to designate the rule pursuant to which this schedule is filed:
 
¨
Rule 13d-1(b)
 
¨
Rule 13d-1(c)
 
x
Rule 13d-1(d)
 
*
 
The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
 
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 
 
 

 

CUSIP No. 730864105
         
  1.
 
NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY)
 
Arthur Lee Lomax
 
 
  2.
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) o
(b) o
 
 
  3.
 
SEC USE ONLY
 
 
 
  4.
 
CITIZENSHIP OR PLACE OF ORGANIZATION
 
U.S.
 
 
     
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH:
 
5.    SOLE VOTING POWER
 
460,100 (See Item 4)

6.    SHARED VOTING POWER
 
-0- (See Item 4)

7.    SOLE DISPOSITIVE POWER
 
460,100 (See Item 4)

8.    SHARED DISPOSITIVE POWER
 
-0- (See Item 4)
         
  9.
 
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
460,100
 
 
10.
 
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
 
 
¨
 
11.
 
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
4.9%
 
 
12.
 
TYPE OF REPORTING PERSON
 
IN (See Item 4)
 
 
 
 
 

 

CUSIP No. 730864105
         
  1.
 
NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY)
 
Gina D. Silvestri
 
 
  2.
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) o
(b) o
 
 
  3.
 
SEC USE ONLY
 
 
 
  4.
 
CITIZENSHIP OR PLACE OF ORGANIZATION
 
U.S.
 
 
     
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH:
 
5.    SOLE VOTING POWER
 
8,000 (See Item 4)

6.    SHARED VOTING POWER
 
-0- (See Item 4)

7.    SOLE DISPOSITIVE POWER
 
8,000 (See Item 4)

8.    SHARED DISPOSITIVE POWER
 
-0- (See Item 4)
         
  9.
 
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
8,000
 
 
10.
 
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
 
 
¨
 
11.
 
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
0.1%
 
 
12.
 
TYPE OF REPORTING PERSON
 
IN (See Item 4)
 
 

 
 

 

CUSIP No. 730864105
         
  1.
 
NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY)
 
Arthur Lee Lomax 2005 Grantor Retained Annuity Trust
 
 
  2.
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) o
(b) o
 
 
  3.
 
SEC USE ONLY
 
 
 
  4.
 
CITIZENSHIP OR PLACE OF ORGANIZATION
 
Georgia
 
 
     
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH:
 
5.    SOLE VOTING POWER
 
296,000 (See Item 4)

6.    SHARED VOTING POWER
 
-0- (See Item 4)

7.    SOLE DISPOSITIVE POWER
 
296,000 (See Item 4)

8.    SHARED DISPOSITIVE POWER
 
-0- (See Item 4)
         
  9.
 
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
296,000
 
 
10.
 
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
 
 
¨
 
11.
 
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
3.1%
 
 
12.
 
TYPE OF REPORTING PERSON
 
OO (See Item 4)
 
 
 
 
 

 

CUSIP No. 730864105
 
                         
Item 1.
 
(a)
  
Name of Issuer:
 
PokerTek, Inc.
  
 
  
 
         
 
 
(b)
  
Address of Issuer’s Principal Executive Offices:
 
1020 Crews Road, Suite J
Matthews, North Carolina 28106
  
 
  
 
         
Item 2.
 
(a)
  
Names of Persons Filing:
 
(i) Arthur Lee Lomax
(ii) Gina D. Silvestri
(iii) Arthur Lee Lomax 2005 Grantor Retained Annuity Trust
  
 
  
 
         
 
 
(b)
  
Address of Principal Business Office or, if none, Residence:
 
As to (i)         75 Carmel Lane
Columbus, North Carolina 28722
As to (ii)        Town Center
28 South Main Street
West Hartford, Connecticut 06107
As to (iii)       2468 Peniel Road
Tryon, North Carolina 28782
  
 
  
 
         
 
 
(c)
  
Place of Organization or Citizenship:
 
As to (i) U.S.
As to (ii) U.S.
As to (iii) Georgia
  
 
  
 
         
 
 
(d)
  
Title of Class of Securities:
 
Common Stock, no par value
  
 
  
 
         
 
 
(e)
  
CUSIP Number:    
 
730864105
  
 
  
 
     
Item 3.
 
If this statement is filed pursuant to §§240.13d - 1(b) or 240.13d - 2(b) or (c), check whether the person filing is a:
 
Not Applicable. This is a joint filing by the persons identified in Item 2, above, pursuant to Rules 13d-1(d) and Rule 13d-1(k) but not a group filing.
  
 
 
 
 

 

CUSIP No. 730864105
 
                     
Item 4.
  
Ownership.
  
 
  
 
         
 
  
(a)
  
Amount beneficially owned:
 
(i) 460,100
(ii) 8,000
(iii) 296,000
  
 
  
 
         
 
  
(b)
  
Percent of Class:
 
(i) 4.9%
(ii) 0.1%
(iii) 3.1%
  
 
  
 
         
 
  
(c)
  
Number of Shares as to which such person has:
  
 
  
 
           
 
  
 
  
(i)
  
Sole power to vote or to direct the vote
 
(i) 460,100
(ii) 8,000
(iii) 296,000
  
 
  
 
           
 
  
 
  
(ii)
  
Shared power to vote or to direct the vote
 
(i) -0-
(ii) -0-
(iii) -0-
  
 
  
 
           
 
  
 
  
(iii)
  
Sole power to dispose or to direct the disposition of
 
(i) 460,100
(ii) 8,000
(iii) 296,000
  
 
  
 
           
 
  
 
  
(iv)
  
Shared power to dispose or to direct the disposition of
 
(i) -0-
(ii) -0-
(iii) -0-
  
 
  
 
     
Item 5.
  
Ownership of Five Percent or Less of a Class
 
(i) If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following:  ý
 
(ii) If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following:  ý
 
(iii) If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following:  ý
  
 
 
 
 

 
 
       
Item 6.
  
Ownership of More Than Five Percent on Behalf of Another Person
 
Not applicable.
  
 
  
 
   
Item 7.
  
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person
 
Not Applicable.
       
Item 8.
  
Identification and Classification of Members of the Group
 
See information in Item 3 and Item 4, above.
  
 
  
 
       
Item 9.
  
Notice of Dissolution of Group
 
Not Applicable.
  
 
  
 
       
Item 10.
  
Certification
 
Not Applicable.
  
 
  
 
 
 
 

 

CUSIP No. 730864105
 
After reasonable inquiry and to the best of our knowledge and belief, we certify that the information set forth in this statement is true, complete and correct.
 
February 13, 2007
 
ARTHUR LEE LOMAX
 
/s/ Arthur Lee Lomax
Arthur Lee Lomax
 
GINA D. SILVESTRI
 
/s/ Gina D. Silvestri
Gina D. Silvestri
 
ARTHUR LEE LOMAX 2005 GRANTOR RETAINED ANNUITY TRUST
   
By:
 
/s/ Arthur Lee Lomax
 
 
Arthur Lee Lomax, Trustee
 
 
 

 
 
CUSIP 730864105
 
EXHIBIT INDEX
 
Exhibit No.
 
Description
     
1
 
Joint Filing Agreement, dated February 13, 2007, by and between Arthur Lee Lomax, Gina D. Silvestri and Arthur Lee Lomax 2005 Grantor Retained Annuity Trust, pursuant to Rule 13d-1(k) of the Securities Exchange Act of 1934, as amended.

 
 

 
EX-24.1 2 v065326_ex24-1.htm
JOINT FILING AGREEMENT
 
In accordance with Rule 13d-1(k) of the Securities Exchange Act of 1934, as amended, the undersigned agree to the joint filing on behalf of each of them of a statement on Schedule 13G with respect to the common stock, no par value, of PokerTek, Inc., and further agree that this Joint Filing Agreement shall be included as an Exhibit to such joint filing. The undersigned further agree that any amendments to such statement on Schedule 13G shall be filed jointly on behalf of each of them without the necessity of entering into additional joint filing agreements.
 
The undersigned further agree that each party hereto is responsible for timely filing of such statement on Schedule 13G and any amendments thereto, and for the completeness and accuracy of the information concerning such party contained therein; provided, however, that no party is responsible for the completeness or accuracy of the information concerning any other party, unless such party knows or has reason to believe that such information is inaccurate.
 
This Joint Filing Agreement may be executed in one or more counterparts, each of which shall be deemed to be an original instrument, but all of such counterparts together shall constitute but one agreement.
 
In evidence thereof the undersigned, being duly authorized, hereby execute this Joint Filing Agreement as of this 13th day of February, 2007.
 

ARTHUR LEE LOMAX
 
/s/ Arthur Lee Lomax
Arthur Lee Lomax
 
GINA D. SILVESTRI
 
/s/ Gina D. Silvestri
Gina D. Silvestri
 
ARTHUR LEE LOMAX 2005 GRANTOR RETAINED ANNUITY TRUST
   
By:
 
/s/ Arthur Lee Lomax
 
 
Arthur Lee Lomax, Trustee

 
 

 
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