Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
- Peter Lynch
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
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Mobivity Holdings Corp. |
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(Name of Issuer) |
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Common Stock |
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(Title of Class of Securities) |
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60743E204 |
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(CUSIP Number) |
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December 31, 2021 |
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(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 and Exchange Act of 1934 (the “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 current valid OMB control number.
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CUSIP No. 60743E204 |
13G |
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1 |
NAME OF REPORTING PERSONS |
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Cornelis F. Wit TTEE Cornelis F. Wit Revocable Living Trust |
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2 |
CHECK THE APPROPRIATE BOX IF MEMBER OF A GROUP |
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(a) ☐ |
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(b) ☒ |
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3 |
SEC USE ONLY |
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4 |
CITIZENSHIP OR PLACE OF ORGANIZATION |
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Netherlands |
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5 |
SOLE VOTING POWER |
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3,828,669 shares of Common Stock |
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NUMBER OF |
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SHARED VOTING POWER |
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SHARES |
0 shares of Common Stock |
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BENEFICIALLY |
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OWNED BY |
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SOLE DISPOSITIVE POWER |
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EACH REPORTING |
3,828,669 shares of Common Stock |
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PERSON WITH |
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8 |
SHARED DISPOSITIVE POWER |
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0 shares of Common Stock |
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9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
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3,828,669 shares of Common Stock |
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10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES |
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☐ |
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) |
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6.9% |
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12 |
TYPE OF REPORTING PERSON |
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OO |
Item 1. Security and Issuer.
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(a) |
Name of Issuer: |
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Mobivity Holdings Corp. |
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(b) |
Address of Issuer: |
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3133 West Frye Road #215, Chandler, AZ 85226 |
Item 2. Identity and Background.
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Item 2(a). |
Name of Person Filing: |
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Cornelis F. Wit |
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Item 2(b) |
Address of Principal Business Office or, if none, Residence: |
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2700 N. Military Trail, Suite 210, Boca Raton, FL 33431 |
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Item 2(c). |
Citizenship or Place of Organization: |
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Netherlands |
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Item 2(d). |
Title of Class of Securities: |
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Common Stock |
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Item 2(e). |
CUSIP Number: |
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60743E204 |
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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:
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(a) |
☐ |
Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). |
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(b) |
☐ |
Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). |
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(c) |
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Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). |
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(d) |
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Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). |
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(e) |
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An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E); |
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(f) |
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An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F); |
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(g) |
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A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G); |
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(h) |
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A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); |
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(i) |
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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); |
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(j) |
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Group, in accordance with §240.13d-1(b)(1)(ii)(J). |
Item 4. Ownership.
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a) |
Amount beneficially owned: 3,828,669 shares of Common Stock |
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b) |
Percent of class: 6.9% on the Date of Event which requires filing of this Statement. |
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c) |
Number of shares as to which the Reporting Person has: |
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(i) Sole power to vote or to direct the vote: 3,828,669 shares of Common Stock |
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(ii) Shared power to vote or to direct the vote: 0 shares of Common Stock |
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(iii) Sole power to dispose or to direct the disposition of: 3,828,669 shares of Common Stock |
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(iv) Shared power to dispose or to direct the disposition of: 0 shares of Common Stock |
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Item 5. |
Ownership of 5 Percent or Less of a Class. |
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Not applicable |
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Item 6. |
Ownership of More than 5 Percent on Behalf of Another Person. |
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Other than as set forth herein, no other person has the right to receive or the power to direct the receipt of dividends from, or proceeds from the sale of, in excess of 5% of the total outstanding Common Stock. |
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Item 7. |
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person. |
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Not applicable |
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Item 8. |
Identification and Classification of Members of the Group. |
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Not applicable |
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Item 9. |
Notice of Dissolution of Group. |
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Not applicable |
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Item 10. |
Certifications. |
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.
SIGNATURES
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 accurate.
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Date: February 15, 2022 |
By: |
/s/ Cornelis F. Wit |
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Cornelis F. Wit, Trustee |
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