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