Instructions for SEC Form 13G

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934

 

(Amendment No. __)*

(Name of Issuer)
(Title of Class of Securities)
(CUSIP Number)
(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant
to which this Schedule is filed:

☐ Rule 13d-1(b)
☐ Rule 13d-1(c)
☐ Rule 13d-1(d)

*The remainder of this cover page shall be filled out
for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment
containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover
page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”)
or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however,
see the Notes).

Persons who respond to the collection of information contained in this
form are not required to respond unless the form displays a currently valid OMB control number.

CUSIP No Page 2 of
1 NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NO. OF ABOVE  PERSONS (ENTITIES ONLY)
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a) ☐

(b) ☐

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
NUMBER OF
SHARES
BENEFICIALLY
OWNED
BY EACH
REPORTING
PERSON
WITH:
5 SOLE VOTING POWER
6 SHARED VOTING POWER
7 SOLE DISPOSITIVE POWER
8 SHARED DISPOSITIVE POWER
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES ☐
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
12 TYPE OF REPORTING PERSON

INSTRUCTIONS FOR SCHEDULE 13G

Instructions for Cover Page

(1) Names of Reporting Persons – Furnish the full legal name of each
person for whom the report is filed – i.e., each person required to sign the schedule itself – including each member of a group. Do not
include the name of a person required to be identified in the report but who is not a reporting person.

(2) If any of the shares beneficially owned by a reporting person
are held as a member of a group and that membership is expressly affirmed, please check row 2(a). If the reporting person disclaims membership
in a group or describes a relationship with other person but does not affirm the existence of a group, please check row 2(b) [unless it
is a joint filing pursuant to Rule 13d-1(k)(1) in which case it may not be necessary to check row 2(b)].

(3) The third row is for SEC internal use; please leave blank.

(4) Citizenship or Place of Organization – Furnish citizenship if
the named reporting person is a natural person. Otherwise, furnish place of organization.

(5)-(9), (11) Aggregated Amount Beneficially Owned By Each Reporting Person,
etc.
– Rows (5) through (9) inclusive, and (11) are to be completed in accordance with the provisions of Item 4 of Schedule 13G. All
percentages are to be rounded off to the nearest tenth (one place after decimal point).

(12) Type of Reporting Person

Category Symbol
Broker Dealer BD
Bank  BK
Insurance Company  IC
Investment Company  IV
Investment Adviser  IA
Employee Benefit Plan, Pension Fund, or Endowment Fund  EP
Parent Holding Company/Control Person  HC
Savings Association  SA
Church Plan CP
Corporation  CO
Partnership  PN
Individual  IN
Other OO

 

Notes:

Attach as many copies of the second part of the cover page as are needed,
one reporting person per page.

Filing persons may, in order to avoid unnecessary duplication, answer items
on the schedules (Schedule 13D, 13G or TO) by appropriate cross references to an item or items on the cover page(s). This approach may
only be used where the cover page item or items provide all the disclosure required by the schedule item. Moreover, such a use of a cover
page item will result in the item becoming a part of the schedule and accordingly being considered as “filed” for purposes
of section 18 of the Securities Exchange Act or otherwise subject to the liabilities of that section of the Act.

Reporting persons may comply with their cover page filing requirements by
filing either completed copies of the blank forms available from the Commission, printed or typed facsimiles, or computer printed facsimiles,
provided the documents filed have identical formats to the forms prescribed in the Commission’s regulations and meet existing Securities
Exchange Act rules as to such matters as clarity and size (Securities Exchange Act Rule 12b-12).

SPECIAL INSTRUCTIONS FOR COMPLYING WITH SCHEDULE 13G

Under Sections 13(d), 13(g) and 23 of the Securities Exchange Act of 1934
and the rules and regulations thereunder, the Commission is authorized to solicit the information required to be supplied by this schedule
by certain security holders of certain issuers.

Disclosure of the information specified in this schedule is mandatory. The
information will be used for the primary purpose of determining and disclosing the holdings of certain beneficial owners of certain equity
securities. This statement will be made a matter of public record. Therefore, any information given will be available for inspection by
any member of the public.

Because of the public nature of the information, the Commission can use it
for a variety of purposes, including referral to other governmental authorities or securities self-regulatory organizations for investigatory
purposes or in connection with litigation involving the Federal securities laws or other civil, criminal or regulatory statutes or provisions.

Failure to disclose the information requested by this schedule may result
in civil or criminal action against the persons involved for violation of the Federal securities laws and rules promulgated thereunder.

GENERAL INSTRUCTIONS

A. Statements filed pursuant to Rule 13d-1(b) containing the information required
by this schedule shall be filed not later than February 14 following the calendar year covered by the statement or within the time specified
in Rules 13d-1(b)(2) and 13d-2(c). Statements filed pursuant to Rule 13d-1(d) shall be filed within the time specified in Rules 13d-1(c),
13d-2(b) and 13d-2(d). Statements filed pursuant to Rule 13d-1(c) shall be filed not later than February 14 following the calendar year
covered by the statement pursuant to Rules 13d-1(d) and 13d-2(b).
B. Information contained in a form which is required to be filed by rules under section
13(f) (15 U.S.C. 78m(f)) for the same calendar year as that covered by a statement on this schedule may be incorporated by reference in
response to any of the items of this schedule. If such information is incorporated by reference in this schedule, copies of the relevant
pages of such form shall be filed as an exhibit to this schedule.
C. The item numbers and captions of the items shall be included but the text of the
items is to be omitted. The answers to the items shall be so prepared as to indicate clearly the coverage of the items without referring to the text of the items. Answer every item. If an item is inapplicable or the answer is in the negative, so state.

Item 1.

(a) Name of Issuer

(b) Address of Issuer’s Principal Executive Offices

Item 2.

(a) Name of Person Filing

(b) Address of Principal Business Office or, if none, Residence

(c) Citizenship

(d) Title of Class of Securities

(e) CUSIP Number

Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b)
or (c), check whether the person filing is a:

(a) ☐ A broker or dealer registered under section 15 of the Act (15 U.S.C. 78o);
(b) ☐ A bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c);
(c) ☐ An insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c);
(d) ☐ An investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).;
(e) ☐ An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);
(f) ☐ An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);
(g) ☐ A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G);
(h) ☐ A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
(i) ☐ A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
(j) ☐ A non-U.S. institution in accordance with § 240.13d–1(b)(1)(ii)(J; and
(k) ☐ A group, in accordance with §240.13d–1(b)(1)(ii)(K). ). If a member of the group is filing as a non-U.S. institution in accordance with §240.13d–1(b)(1)(ii)(J), please specify the type of institution:

Item 4. Ownership.

Provide the following information regarding the aggregate
number and percentage of the class of securities of the issuer identified in Item 1.

(a) Amount beneficially owned: ________.

(b) Percent of class: ________.

(c) Number of shares as to which the person has:

(i)     Sole power to vote or to direct
the vote ________.

(ii)    Shared power to vote or to direct
the vote ________.

(iii)   Sole power to dispose or to direct the
disposition of ________.

(iv)   Shared power to dispose or to direct the
disposition of ________.

Instruction.    For computations regarding
securities which represent a right to acquire an underlying security see §240.13d-3(d)(1).

Item 5. Ownership of Five Percent or Less of a Class

If this statement is being filed
to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent
of the class of securities, check the following D.

Instruction: Dissolution of a group requires a response to this item.

Item 6. Ownership of More than Five Percent on Behalf of Another Person.

If any other person is known to
have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, such securities,
a statement to that effect should be included in response to this item and, if such interest relates to more than five percent
of the class, such person should be identified. A listing of the shareholders of an investment company registered under the Investment
Company Act of 1940 or the beneficiaries of employee benefit plan, pension fund or endowment fund is not required.

Item 7. Identification and Classification of the Subsidiary Which Acquired
the Security Being Reported on By the

Parent Holding Company

If a parent holding company has
filed this schedule, pursuant to Rule 13d-1(b)(ii)(G), so indicate under Item 3(g) and attach an exhibit stating the identity and
the Item 3 classification of the relevant subsidiary. If a parent holding company has filed this schedule pursuant to Rule 13d-1(c)
or Rule 13d-1(d), attach an exhibit stating the identification of the relevant subsidiary.

Item 8. Identification and Classification of Members of the Group

If a group has filed this schedule
pursuant to §240.13d-1(b)(1)(ii)(J), so indicate under Item 3(j) and attach an exhibit stating the identity and Item 3 classification
of each member of the group. If a group has filed this schedule pursuant to §240.13d-1(c) or §240.13d-1(d), attach an
exhibit stating the identity of each member of the group.

Item 9. Notice of Dissolution of Group

Notice of dissolution of a group
may be furnished as an exhibit stating the date of the dissolution and that all further filings with respect to transactions in
the security reported on will be filed, if required, by members of the group, in their individual capacity. See Item 5.

Item 10. Certification

(a) The following certification shall be included if the statement is filed
pursuant to § 240.13d-1(b):

By signing below I certify that, to the best of my knowledge and belief, the securities
referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose
of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in
connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with
a nomination under § 240.14a-11.

(b) The following certification shall be included if the statement is filed
pursuant to § 240.13d-1(b)(1)(ii)(J), or if the statement is filed pursuant to § 240.13d-1(b)(1)(ii)(K) and a member of the
group is a non-U.S. institution eligible to file pursuant to § 240.13d-1(b)(1)(ii)(J):

By signing below I certify that, to the best of my knowledge and belief, the foreign
regulatory scheme applicable to [insert particular category of institutional investor] is substantially comparable to the regulatory scheme
applicable to the functionally equivalent U.S. institution(s). I also undertake to furnish to the Commission staff, upon request, information
that would otherwise be disclosed in a Schedule 13D.

(c) The following certification shall be included if the statement is filed
pursuant to § 240.13d-1(c):

By signing below I certify that, to the best of my knowledge and belief, the securities
referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the
issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that
purpose or effect, other than activities solely in connection with a nomination under § 240.14a-11.

SIGNATURE

After reasonable inquiry and to
the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

Date
Signature
Name/Title

The original statement shall be signed by each person on whose behalf the statement
is filed or his authorized representative. If the statement is signed on behalf of a person by his authorized representative other than
an executive officer or general partner of the filing person, evidence of the representative’s authority to sign on behalf of such person
shall be filed with the statement, Provided, however, That a power of attorney for this purpose which is already on file with the Commission
may be incorporated by reference. The name and any title of each person who signs the statement shall be typed or printed beneath his
signature.

NOTE: Schedules filed in
paper format shall include a signed original and five copies of the schedule, including all exhibits. See §240.13d-7
for other parties for whom copies are to be sent.

Attention: Intentional misstatements
or omissions of fact constitute Federal criminal violations (See 18 U.S.C. 1001)