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*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.
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|
The
information required on 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).
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1
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Names
of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities
Only)
Malcolm
G. Chace
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||
2
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Check
the Appropriate Box if a Member of a
Group (a) o
(See
Instructions)
(b) o
Not
Applicable
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3
|
SEC
Use Only
|
||
4
|
Citizenship
or Place of Organization
United
States of America
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||
Number
of
Shares
Beneficially
Owned
by
Each
Reporting
Person
With
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5
|
Sole
Voting Power
54,949*
|
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6
|
Shared
Voting Power
526,327
|
||
7
|
Sole
Dispositive Power
54,949*
|
||
8
|
Shared
Dispositive Power
526,327
|
||
9
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Aggregate
Amount Beneficially Owned by Each Reporting Person
581,276
|
||
10
|
Check
if the Aggregate Amount in Row (9) Excludes Certain Shares
o (See
Instructions)
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||
11
|
Percent
of Class Represented by Amount in Row (9)
12.6%
(based on 4,600,744 shares outstanding and assumes conversion of all
exercisable options).
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||
12
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Type
of Reporting Person (See
Instructions)
IN
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i.
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sole
power to vote or to direct the vote
……………………………….....54,949*
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ii.
|
shared
power to vote or to direct the
vote………………………………..526,327
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iii.
|
sole
power to vote or to direct the vote
……………………………….....54,949*
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iv.
|
shared
power to vote or to direct the
vote………………………………..526,327
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