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.
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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)*
FS INVESTMENT CORPORATION III
(Name of Issuer)
Common Stock, $0.001 par value per share
(Title of Class of Securities)
30282X 103
(CUSIP Number)
April 2, 2014
(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)
x 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 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).
| CUSIP No. 30282X 103 |
| 1 | Names of reporting persons
David J. Adelman | |||||
| 2 | Check the appropriate box if a member of a group (see instructions) (a) ¨ (b) ¨
| |||||
| 3 | SEC use only
| |||||
| 4 | Citizenship or place of organization
United States of America | |||||
| Number of shares beneficially owned by each reporting person with: |
5 | Sole voting power
66,666.667 | ||||
| 6 | Shared voting power
0 | |||||
| 7 | Sole dispositive power
66,666.667 | |||||
| 8 | Shared dispositive power
0 | |||||
| 9 |
Aggregate amount beneficially owned by each reporting person
66,666.667 | |||||
| 10 | Check if the aggregate amount in Row (9) excludes certain shares (see instructions) ¨
| |||||
| 11 | Percent of class represented by amount in Row (9)
4.1%(1) | |||||
| 12 | Type of reporting person (see instructions)
IN | |||||
| (1) | There were 1,644,787.889 shares of common stock, $0.001 par value per share (“Common Stock”), of FS Investment Corporation III, a Maryland corporation (the “Issuer”), outstanding as of April 2, 2014. |
Page 2 of 5 Pages
Item 1.
| (a) | Name of Issuer: |
| FS Investment Corporation III |
| (b) | Address of Issuer’s Principal Executive Offices: |
| Cira Centre |
| 2929 Arch Street, Suite 675 |
| Philadelphia, Pennsylvania 19104 |
Item 2.
| (a) | Name of Person Filing: |
| David J. Adelman |
| (b) | Address of Principal Business Office or, if None, Residence: |
| 4043 Walnut Street |
| Philadelphia, Pennsylvania 19104 |
| (c) | Citizenship: |
| David J. Adelman is a United States citizen. |
| (d) | Title of Class of Securities: |
| Common Stock, $0.001 par value per share |
| (e) | CUSIP Number: |
| 30282X 103 |
| 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) | ¨ | Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o); | ||||
| (b) | ¨ | Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c); | ||||
| (c) | ¨ | Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c); | ||||
| (d) | ¨ | 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); | ||||
| (k) | ¨ | A group, in accordance with §240.13d-1(b)(1)(ii)(K). If filing as a non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J), please specify the type of institution: | ||||
Page 3 of 5 Pages
| 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: 66,666.667 |
| (b) | Percent of class: 4.1%(1) |
| (c) | Number of shares as to which the person has: |
| (i) | Sole power to vote or to direct the vote: 66,666.667 |
| (ii) | Shared power to vote or to direct the vote: 0 |
| (iii) | Sole power to dispose or to direct the disposition of: 66,666.667 |
| (iv) | Shared power to dispose or to direct the disposition of: 0 |
| (1) | There were 1,644,787.889 shares of Common Stock of the Issuer outstanding as of April 2, 2014. |
| 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 x.
| Item 6. | Ownership of More than Five Percent on Behalf of Another Person. |
Not applicable.
| Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person. |
Not applicable.
| Item 8. | Identification and Classification of Members of the Group. |
Not applicable.
| Item 9. | Notice of Dissolution of Group. |
Not applicable.
| Item 10. | Certifications. |
Not applicable.
Page 4 of 5 Pages
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.
Dated: April 9, 2014
| DAVID J. ADELMAN |
| /s/ David J. Adelman |
Page 5 of 5 Pages