| FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 05/04/2017 | 3. Issuer Name and Ticker or Trading Symbol P10 Industries, Inc. [ PIOE ] | |||||||||||||
| 4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Beneficially Owned | |||
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| 1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
| Common Stock | 21,650,000(1)(2)(3) | I | By 210/P10 Acquisition Partners, LLC |
| Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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| 1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
| Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
| Explanation of Responses: |
| 1. This Form 3 is being filed by the reporting person in his capacity as as a director of P10 Industries, Inc. (the "Issuer") and in his capacity as an indirect holder of 21,650,000 shares of common stock of the Issuer. The reporting person is the sole member of CCW/LAW Holdings, LLC, which is a member of 210 Capital, LLC ("210 Capital"). 210 Capital is the sole member of 210/P10 Acquisition Partners, LLC, which is a direct holder of 21,650,000 shares of common stock of the Issuer. |
| 2. The reporting person disclaims beneficial ownership of these shares of the Issuer's common stock except to the extent of his pecuniary interest therein, and the filing of this Form 3 shall not be construed as an admission that such person is a beneficial owner of these shares of the Issuer's common stock for purposes of Section 16 or for any other purpose. |
| 3. A statement on Schedule 13D was initially jointly filed on May 15, 2017 by the reporting person and other persons with respect to the shares of the Issuer's common stock reported on this Form 3. |
| Remarks: |
| /s/ C. Clark Webb | 05/15/2017 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| 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 Number. | ||
