SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Tirpak Bradley M

(Last) (First) (Middle)
39 DOVER STREET

(Street)
LONDON X0 W1S 3NN

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/09/2020
3. Issuer Name and Ticker or Trading Symbol
BARNWELL INDUSTRIES INC [ BRN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) X Other (specify below)
13(d) GROUP MEMBER
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 34,127 D(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. The Reporting Person directly beneficially owns 34,127 shares of Common Stock. The Reporting Person is a member of a Section 13(d) group (within the meaning of Section 13(d) of the Exchange Act) that beneficially owns in the aggregate more than 10% of the Issuer's outstanding shares of Common Stock as disclosed in a Schedule 13D/A, filed on behalf of the Reporting Person and certain other stockholders of the Issuer on April 10, 2020. The securities reported herein do not include any securities held by any group member other than the Reporting Person, as such securities have been reported in separate Form 3 and Form 4 filings by such other group members.
Remarks:
The election of the Reporting Person as a Director became effective on April 9, 2020 when the independent inspector of election delivered his certified final report setting forth the results of the 2020 Annual Meeting of Stockholders of Barnwell Industries, Inc., which was held on April 3, 2020.
/s/ Bradley M. Tirpak 04/16/2020
** 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 5 (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.
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