SEC Form 3
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)
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2. Date of Event Requiring Statement
(Month/Day/Year) 05/19/2023 |
3. Issuer Name and Ticker or Trading Symbol
TRAQIQ, INC. [ TRIQ ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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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) |
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 | ||||
Series C Convertible Preferred Stock | (1) | (1) | Common Stock | 25,171,017 | (1) | D(2) |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. Titan 5, LLC ("Titan 5") owns of record 251,710.173 shares of Series C Convertible Preferred Stock of TraQiQ, Inc. (the "Issuer"). Each share of Series C Convertible Preferred Stock is convertible at any time into 100 shares of the Issuer's common stock, par value $0.0001 per share, without payment of additional consideration. The Series C Convertible Preferred Stock has no expiration date. |
2. These shares are owned of record directly by Titan 5. Michelle M. Rizzo is the Manager of Titan 5. Titan 5 is 100% owned by the Michelle M. Rizzo Trust, dated January 17, 2009 (the "Trust"). Michelle M. Rizzo is the sole trustee of the Trust, the sole beneficiary of the Trust and the sole settlor of the Trust. These shares may be deemed to be owned indirectly by the Trust and by Michelle M. Rizzo. See address and relationship information with respect to Michelle M. Rizzo and the Trust below. The filing of this Form 3 shall not be deemed an admission by any Reporting Person that such Reporting Person is, for purposes of Section 16 of the Securities Exchange Act, the beneficial owner of any securities covered by this Form 3. |
/s/ Michelle M. Rizzo, Manager of Titan 5, LLC | 07/12/2023 | |
/s/ Michelle M. Rizzo, Trustee of the Michelle M. Rizzo Trust, dated January 17, 2009 | 07/12/2023 | |
/s/ Michelle M. Rizzo | 07/12/2023 | |
** 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. |