0001062993-21-012250.txt : 20211206
0001062993-21-012250.hdr.sgml : 20211206
20211206161331
ACCESSION NUMBER: 0001062993-21-012250
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211203
FILED AS OF DATE: 20211206
DATE AS OF CHANGE: 20211206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DULLUM DAVID A R
CENTRAL INDEX KEY: 0001238279
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 814-00704
FILM NUMBER: 211473320
MAIL ADDRESS:
STREET 1: C/O GLADSTONE CAPITAL CORP
STREET 2: 1521 WESTBRANCH DRIVE SUITE 200
CITY: MCLEAN
STATE: VA
ZIP: 22102
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GLADSTONE INVESTMENT CORPORATION\DE
CENTRAL INDEX KEY: 0001321741
IRS NUMBER: 830423116
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0331
BUSINESS ADDRESS:
STREET 1: 1521 WESTBRANCH DRIVE
STREET 2: SUITE 100
CITY: MCLEAN
STATE: VA
ZIP: 22102
BUSINESS PHONE: 7032875800
MAIL ADDRESS:
STREET 1: 1521 WESTBRANCH DRIVE
STREET 2: SUITE 100
CITY: MCLEAN
STATE: VA
ZIP: 22102
4
1
form4.xml
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
X0306
4
2021-12-03
0001321741
GLADSTONE INVESTMENT CORPORATION\DE
GAIN
0001238279
DULLUM DAVID A R
1521 WESTBRANCH DRIVE
SUITE 100
MCLEAN
VA
22102
0
1
0
0
President
Common Stock
2021-12-03
4
P
0
3000
16.54
A
129416
D
Common Stock
1349
I
By Spouse
Mr. Dullum disclaims beneficial ownership of these 1,349 shares held by his spouse and this report shall not be deemed an admission that Mr. Dullum is the beneficial owner of the securities for purposes of Section 16 or any other purpose.
/s/ Michael LiCalsi, attorney-in-fact
2021-12-06