Amended Statement of Ownership (sc 13g/a)
February 11 2015 - 11:17AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G/A
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
TO RULES 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED
PURSUANT TO RULE 13d-2
(Amendment No. 2)*
INRAD OPTICS, INC.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
45779C10
(CUSIP Number)
12/31/2014
(Date of Event Which Requires Filing of the 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 the disclosures provided in a prior cover
page.
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).
CUSIP NO. 45779C107 | 13G | Page 2 of 5 Pages |
1. |
NAME OF REPORTING PERSONS
Lynn E. Gorguze
|
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
USA
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
5. |
SOLE VOTING POWER
1,067,005 (1)
|
6. |
SHARED VOTING POWER
0
|
7. |
SOLE DISPOSITIVE POWER
1,067,005 (1)
|
8.
|
SHARED DISPOSITIVE POWER
0
|
9. |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,067,005
|
10. |
CHECK BOX IF THE AGGREGATE AMOUNT
IN ROW (9) EXCLUDES
CERTAIN SHARES ¨ |
11. |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
8.6%
|
12.
|
TYPE OF REPORTING PERSON (See Instructions)
IN
|
|
|
|
|
| (1) | Represents (i) 535,950 shares held by the Lynn Gorguze Separate Property Trust dated 4/21/98, of which Ms. Gorguze is the sole
trustee and (ii) 531,055 shares held by the Vincent and Gloria Gorguze Trust dated 3/27/98, of which Ms. Gorguze is the sole trustee. |
CUSIP NO. 45779C107 | 13G | Page 3 of 5 Pages |
| Item 1(a). | Name of Issuer: |
INRAD OPTICS, INC.
| Item 1(b). | Address of Issuer’s Principal Executive Offices: |
181 Legrand Avenue
Northvale, NJ 07647
| Item 2(a). | Name of Person Filing: |
Lynn E. Gorguze
| Item 2(b). | Address of Principal Business Office or, if none,
Residence: |
1200 Prospect Street, Suite 325
LaJolla, CA 92037
USA
| Item 2(d). | Title of Class of Securities: |
Common Stock
45779C107
| Item 3. | If this statement is filed pursuant to Rules 13d-1(b),
or 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 Rule 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 association 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
(15 U.S.C. 80a-3); |
| (j) | ¨ A
non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J); |
| (k) | ¨ 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: _________________
CUSIP NO. 45779C107 | 13G | Page 4 of 5 Pages |
Provide the following information regarding
the aggregate number and percentage of class of securities of the issuer identified in Item 1.
| (a) | Amount beneficially owned: 1,067,005 |
| (b) | Percent of Class: 8.6% |
| (c) | Number of shares as to which such person has: |
| (i) | sole power to vote or to direct the vote: 1,067,005 |
| (ii) | shared power to vote or to direct the vote: 0 |
| (iii) | sole power to dispose or to direct the disposition of: 1,067,005 |
| (iv) | shared power to dispose or to direct the disposition of: 0 |
| 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 5 percent of the class of securities, check the following ¨.
| Item 6. | Ownership of More than Five Percent on Behalf of
Another Person: |
Not applicable
| Item7. | Identification and Classification of the Subsidiary
which Acquired the Security Being Reported on by the Parent Holding Company or Control Person: |
Item
8. Identification and Classification of Members of the Group:
Item
9. Notice of Dissolution of Group:
CUSIP NO. 45779C107 | 13G | Page 5 of 5 Pages |
Not applicable
SIGNATURE
After reasonable inquiry
and to the best of its knowledge and belief, I certify (the undersigned certifies) that the information set forth in this statement
is true, complete and correct.
|
February 11, 2015 |
|
(Date) |
|
/s/ Lynn E. Gorguze |
|
(Signature) |
|
Lynn E. Gorguze |
|
Name and Title |
Inrad Optics (PK) (USOTC:INRD)
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