UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
David J. Baker & Janice M. Baker Revocable Living Trust dated December 8, 1994 C/O PRIMORIS CORPORATION 26000 COMMERCENTRE DRIVE LAKE FOREST, CA 92630 |
 |  |  | Member - see remark |
Baker David J. C/O PRIMORIS CORPORATION 26000 COMMERCENTRE DRIVE LAKE FOREST, CA 92630 |
 |  |  | Member - see remark |
Baker Janice M. C/O PRIMORIS CORPORATION 26000 COMMERCENTRE DRIVE LAKE FOREST, CA 92630 |
 |  |  | Member - see remark |
/s/ David Baker, as Trustee of the Revocable Living Trust dated December 8, 1994 | 08/12/2008 | |
**Signature of Reporting Person | Date | |
/s/ Janice Baker, as Trustee of the Revocable Living Trust dated December 8, 1994 | 08/12/2008 | |
**Signature of Reporting Person | Date | |
/s/ David Baker | 08/12/2008 | |
**Signature of Reporting Person | Date | |
/s/ Janice Baker | 08/12/2008 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | These shares are owned directly by the Revocable Living Trust dated December 8, 1994 and indirectly by David Baker and Janice Baker, as trustees of the trust. |
 Remarks: 4. Relationship of Reporting Person to Issuer - Other: Member of 13(d) group owning more than 10% |