SEC FORM
3
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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
70 WEST MADISON ST. |
STE. 3500 |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 10/06/2020
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3. Issuer Name and Ticker or Trading Symbol
TELOS CORP
[ TLSRP ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
X |
Other (specify below) |
Member of 10% Group
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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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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Preferred Stock, par value $.01 per share
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67,000 |
I |
By trust - See note
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Preferred Stock, par value $.01 per share
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40,000 |
I |
By trust - See note
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Preferred Stock, par value $.01 per share
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20,000 |
I |
By trust - See note
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Preferred Stock, par value $.01 per share
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20,000 |
I |
By trust - See note
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Preferred Stock, par value $.01 per share
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20,000 |
I |
By trust - See note
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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)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
1. Name and Address of Reporting Person*
70 WEST MADISON ST. |
STE. 3500 |
(Street)
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1. Name and Address of Reporting Person*
70 WEST MADISON ST. |
STE. 3500 |
(Street)
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1. Name and Address of Reporting Person*
70 WEST MADISON ST. |
STE. 3500 |
(Street)
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1. Name and Address of Reporting Person*
70 WEST MADISON ST. |
STE. 3500 |
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
70 WEST MADISON ST. |
STE. 3500 |
(Street)
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1. Name and Address of Reporting Person*
70 WEST MADISON ST. |
STE. 3500 |
(Street)
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1. Name and Address of Reporting Person*
70 WEST MADISON ST. |
STE. 3500 |
(Street)
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1. Name and Address of Reporting Person*
70 WEST MADISON ST. |
STE. 3500 |
(Street)
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1. Name and Address of Reporting Person*
70 WEST MADISON ST. |
STE. 3500 |
(Street)
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Explanation of Responses: |
Remarks: |
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/s/ Victor Morgenstern, by David R. Brown, attorney-in-fact Victor Morgenstern, personally and as Trustee of the following trust: The Victor Morgenstern Grantor Remainder Annuity Trust 2020 #2 |
10/16/2020 |
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/s/ Judd Morgenstern, by David R. Brown, attorney-in-fact Judd Morgenstern, personally and as Trustee of the following trusts: The Judd Morgenstern Revocable Trust The Judd Morgenstern Irrevocable Trust The Robyn Morgenstern Irrevocable Trust |
10/16/2020 |
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/s/ Jennifer Morgenstern, by David R. Brown, attorney-in-fact Jennifer Morgenstern, personally and as Trustee of the following trusts: The Jennifer Morgenstern Irrevocable Trust The Judd Morgenstern Irrevocable Trust |
10/16/2020 |
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/s/ Robyn Morgenstern, by David R. Brown, attorney-in-fact Robyn Morgenstern, personally and as Trustee of the following trusts: The Robyn Morgenstern Irrevocable TrustThe Jennifer Morgenstern Irrevocable Trust |
10/16/2020 |
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/s/ Gary I. Levenstein, by David R. Brown, attorney-in-fact Gary I. Levenstein, personally and as Trustee of the following trusts: The Judd Morgenstern Irrevocable Trust The Robyn Morgenstern Irrevocable Trust The Jennifer Morgenstern Irrevocable Trust |
10/16/2020 |
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** 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. |
EXHIBIT 24
Power of Attorney
Telos Corporation SEC Compliance Matters
Each of the undersigned, both personally
and in his or her capacity as trustee of the trusts listed on the signature page hereto, hereby grants a power of attorney as follows:
The undersigned hereby makes, constitutes
and appoints each of Gary I. Levenstein, David R. Brown, Pierce H. Han and Margaret DiVito, all of Nixon Peabody LLP, or any of
them acting singly, and with full power of substitution and re-substitution, as the undersigned's true and lawful attorney-in-fact
(each of such persons and their substitutes being referred to herein as the “Attorney-in-Fact”), with full power
to act for the undersigned and in the undersigned's name, place and stead, in any and all capacities, solely with respect to matters
relating to Telos Corporation (the “Company”) to:
1. Prepare,
execute, and submit to the Securities and Exchange Commission (“SEC”) a Form ID, including amendments thereto,
and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings
with the SEC of reports required or considered by the Attorney-in-Fact to be advisable under Section 13 or Section 16 of the Securities
Exchange Act of 1934 (the “Exchange Act”) or any other rule or regulation of the SEC;
2. Prepare,
execute and submit to the SEC, the Company, and/or any national securities exchange on which the Company's securities are listed
any and all reports (including any amendments thereto) the undersigned is required to file with the SEC, or which the Attorney-in-Fact
considers it advisable to file with the SEC, under Section 13 or Section 16 of the Exchange Act or any rule or regulation thereunder,
or under Rule 144 under the Securities Act of 1933 (“Rule 144”), with respect to the any security of the Company,
including Forms 3, 4 and 5, Schedules 13D and 13G, and Forms 144; and
3. Obtain,
as the undersigned's representative and on the undersigned's behalf, information regarding transactions in the Company's equity
securities from any third party, including the Company and any brokers, dealers, employee benefit plan administrators and trustees,
and the undersigned hereby authorizes any such third party to release any such information to the Attorney-in-Fact.
The
undersigned acknowledges that:
a) This
Power of Attorney authorizes, but does not require, the Attorney-in-Fact to act in his or her discretion on information provided
to such Attorney-in-Fact without independent verification of such information;
b) Any
documents prepared or executed by the Attorney-in-Fact on behalf of the undersigned pursuant to this Power of Attorney will be
in such form and will contain such information as the Attorney-in-Fact, in his or her discretion, deems necessary or desirable;
c) Neither
the Company nor the Attorney-in-Fact assumes any liability for the undersigned's responsibility to comply with the requirements
of Section 13 or Section 16 of the Exchange Act or Rule 144, any liability of the undersigned for any failure to comply with such
requirements, or any liability of the undersigned for disgorgement of profits under Section 16(b) of the Exchange Act; and
d) This
Power of Attorney does not relieve the undersigned from responsibility for compliance with the undersigned's obligations under
Section 13 or Section 16 of the Exchange Act, including, without limitation, the reporting requirements under Section 13 or Section
16 of the Exchange Act.
The undersigned hereby grants to the Attorney-in-Fact
full power and authority to do and perform each and every act and thing requisite, necessary or advisable to be done in connection
with the foregoing, as fully, to all intents and purposes, as the undersigned might or could do in person, hereby ratifying and
confirming all that the Attorney-in-Fact, or his or her substitute or substitutes, shall lawfully do or cause to be done by authority
of this Power of Attorney.
This Power of Attorney shall remain in
full force and effect until the undersigned is no longer required to file Forms 4 or 5 or Schedules 13D or 13G or Forms 144 with
respect to the undersigned's holdings of and transactions in securities of the Company, unless earlier revoked by the undersigned
in a signed writing delivered to the Attorney-in-Fact. This Power of Attorney revokes all previous powers of attorney with respect
to the subject matter of this Power of Attorney.
[SIGNATURE PAGE FOLLOWS]
The undersigned have each executed this
Power of Attorney effective as of October 8, 2020.
/s/ Victor Morgenstern |
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Victor Morgenstern, personally and as Trustee of the following trust: |
The Victor Morgenstern Grantor Remainder Annuity Trust 2020 #2 |
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/s/ Faye Morgenstern |
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Faye Morgenstern, personally and as Trustee of the following trust: |
The Victor A. Morgenstern Grandchildren Trust |
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/s/ Judd Morgenstern |
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Judd Morgenstern, personally and as Trustee of the following trusts: |
The Judd Morgenstern Revocable Trust |
The Judd Morgenstern Irrevocable Trust |
The Robyn Morgenstern Irrevocable Trust |
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/s/ Jennifer Morgenstern |
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Jennifer Morgenstern, personally and as Trustee of the following trusts: |
The Jennifer Morgenstern Irrevocable Trust |
The Judd Morgenstern Irrevocable Trust |
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/s/ Robyn Morgenstern |
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Robyn Morgenstern, personally and as Trustee of the following trusts: |
The Robyn Morgenstern Irrevocable Trust |
The Jennifer Morgenstern Irrevocable Trust |
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/s/ Gary I. Levenstein |
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Gary I. Levenstein, personally and as Trustee of the following trusts: |
The Judd Morgenstern Irrevocable Trust |
The Robyn Morgenstern Irrevocable Trust |
The Jennifer Morgenstern Irrevocable Trust |
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/s/ Antonio Gracias |
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Antonio Gracias, personally and as Trustee of the following trust: |
The Victor A. Morgenstern Grandchildren Trust |
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Signature Page to Power of Attorney – SEC Compliance – Telos Corporation – October 8, 2020 |