0001628280-17-001295.txt : 20170214 0001628280-17-001295.hdr.sgml : 20170214 20170214133018 ACCESSION NUMBER: 0001628280-17-001295 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170214 DATE AS OF CHANGE: 20170214 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: JRjr33, Inc. CENTRAL INDEX KEY: 0001403085 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-NONSTORE RETAILERS [5960] IRS NUMBER: 980534701 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2950 NORTH HARWOOD STREET STREET 2: 22ND FLOOR CITY: DALLAS STATE: TX ZIP: 75201 BUSINESS PHONE: 972-398-7120 MAIL ADDRESS: STREET 1: 2950 NORTH HARWOOD STREET STREET 2: 22ND FLOOR CITY: DALLAS STATE: TX ZIP: 75201 FORMER COMPANY: FORMER CONFORMED NAME: CVSL INC. DATE OF NAME CHANGE: 20130529 FORMER COMPANY: FORMER CONFORMED NAME: Computer Vision Systems Laboratories Corp. DATE OF NAME CHANGE: 20110714 FORMER COMPANY: FORMER CONFORMED NAME: CARDIO VASCULAR MEDICAL DEVICE CORP DATE OF NAME CHANGE: 20070613 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROCHON WILLIAM JOHN PHILIP CENTRAL INDEX KEY: 0001564025 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36755 FILM NUMBER: 17606436 MAIL ADDRESS: STREET 1: 2400 DALLAS PARKWAY STREET 2: SUITE 230 CITY: PLANO STATE: TX ZIP: 75093 5 1 wf-form5_148709700537569.xml FORM 5 X0306 5 2016-12-31 0 0 0 0001403085 JRjr33, Inc. JRJR 0001564025 ROCHON WILLIAM JOHN PHILIP 2950 NORTH HARWOOD STREET, 22ND FLOOR DALLAS TX 75201 1 1 1 0 Vice Chairman Common Stock 2017-02-10 5 G 0 69000 0 D 5579260 D Common Stock 2016-12-12 5 G 0 51750 0 A 166812 I By Trust Common Stock 2016-12-12 5 G 0 103500 0 A 270312 I By Trust Common Stock 2016-12-12 5 G 0 17250 0 A 17250 I Joint Ownership with Spouse The transactions reported in this Form 4 involved gifts of an aggregate of 69,000 shares of JRjr33, Inc. common stock, par value $0.0001 per share (the "Common Stock") by the reporting person consisting of: (i) an aggregate of 51,750 shares to three separate trusts for the benefit of his three children (the "Trusts") with 17,250 shares gifted to each Trust, and (ii)17,250 shares gifted to the reporting person's spouse. The reporting person is the sole trustee of the Trusts and, therefore, is deemed to indirectly beneficially own such 51,750 shares gifted to the Trusts as well as the 17,250 shares gifted to his spouse. Includes (i) 1,141,760 shares of Common Stock held directly by the reporting person; (ii) 1,237,500 shares of Common Stock held by The William John Philip Rochon 2010 Dynasty Trust, of which the reporting person is the sole trustee; and (iii) 3,200,000 shares of Common Stock held by Richmont Capital Partners V LP, of which Richmont Street, LLC is its Managing General Partner, an entity controlled by the reporting person, which shares are also separately reported as beneficially owned by Richmont Capital Partners V LP. As previously disclosed in filings with the Securities and Exchange Commission, Richmont Capital Partners V LP, Richmont Street, LLC, Mr. John Rochon, Jr., Rochon Capital Partners Ltd. ("Rochon Capital"), John Rochon Management, Inc. ("JRM") and Mr. John P. Rochon may be deemed to be members of a group for voting purposes under the Securities Exchange Act of 1934, as amended. As such, Richmont Capital Partners V LP, Richmont Street, LLC and the reporting person may also be deemed to indirectly beneficially own the 14,162,500 shares of Common Stock held directly in the aggregate by Rochon Capital, JRM, and Mr. John P. Rochon. This transaction involved a gift of an aggregate of 103,500 shares of Common Stock to the Trusts by Rochon Capital. The reporting person is the sole trustee of the Trusts and, therefore, is deemed to indirectly beneficially own such shares. /s/John Rochon, Jr. 2017-02-14