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.
  
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
Sachs Gregory H

(Last) (First) (Middle)
615 N. WABASH AVENUE

(Street)
CHICAGO IL 60611

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SCG Financial Acquisition Corp. [ SCGQ ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman, CEO and President
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2011
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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 06/03/2011 D 182,857 D (1) 1,139,048 I See 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
1. Name and Address of Reporting Person*
Sachs Gregory H

(Last) (First) (Middle)
615 N. WABASH AVENUE

(Street)
CHICAGO IL 60611

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Gergory H. Sachs Revocable Trust Dtd. April 24, 1998

(Last) (First) (Middle)
615 N. WABASH AVE.

(Street)
CHICAGO IL 60611

(City) (State) (Zip)
Explanation of Responses:
1. Gregory H. Sachs is the trustee and beneficiary of the Gregory H. Sachs Revocable Trust (the "Trust") and is thereby the indirect holder of securities of the Issuer held by the Trust through its membership in SCG Financial Holdings LLC (the "sponsor"). Gregory H. Sachs is the Manager of the sponsor and may be deemed to have beneficial ownership of all shares of common stock held by the sponsor. Each Reporting Person disclaims beneficial ownership of any shares over which he or it does not have a pecuniary interest. As contemplated, in connection with the Issuer's initial public offering, 182,857 shares of common stock beneficially owned by the Reporting Persons were returned to the Issuer for no consideration and cancelled because the underwriters' over-allotment option was not exercised pursuant to the Letter Agreement dated April 12, 2011 by and among the Issuer, the sponsor, Gregory H. Sachs and the members of the sponsor.
/s/ Gregory H. Sachs 02/14/2012
/s/Gregory H. Sachs, Trustee of Gregory H. Sachs Revocable Trust Dtd. April 24, 1998 02/14/2012
** 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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