SEC FORM 3/A 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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1. Name and Address of Reporting Person*
9830 Macarthur LLC

(Last) (First) (Middle)
30 N. GOULD STREET, SUITE R

(Street)
SHERIDAN WY 82801

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/01/2020
3. Issuer Name and Ticker or Trading Symbol
Mohawk Group Holdings, Inc. [ MWK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
12/08/2020
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock ($0.0001 par value) 4,056,000 I By: 9830 Macarthur, LLC(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
9830 Macarthur LLC

(Last) (First) (Middle)
30 N. GOULD STREET, SUITE R

(Street)
SHERIDAN WY 82801

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Nijor Children's Trust UA 1/2/2017

(Last) (First) (Middle)
30 N. GOULD STREET, SUITE R

(Street)
SHERIDAN WY 82801

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Puzovic Jelena

(Last) (First) (Middle)
30 N. GOULD STREET, SUITE R

(Street)
SHERIDAN WY 82801

(City) (State) (Zip)
Explanation of Responses:
1. 9830 Macarthur, LLC ("Macarthur") is a private investment vehicle. Macarthur directly owns the securities reported herein. Nijor Children's Trust UA 1/2/2017 (the "Trust") is the Manager of Macarthur. Jelena Puzovic is the Trustee of the Trust. Each Reporting Person disclaims beneficial ownership of all securities reported herein, except to the extent of their pecuniary interest therein, if any, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of such securities for purposes of Section 16 of the Securities and Exchange Act of 1934 or for any other purpose.
Remarks:
This amendment to the Form 3 originally filed on December 8, 2020 (the "Original Form 3") is being filed to add Jelena Puzovic and the Trust as Reporting Persons. Although Ms. Puzovic (as Trustee of the Trust) was disclosed in the Original Form 3 and signed the Original Form 3 on behalf of the Reporting Persons, she was unable to be included as a Reporting Person herself as she did not have codes for the EDGAR system. Although the Trust was indirectly disclosed in the Original Form 3 as the "Manager," it was unable to be included as a Reporting Person as it did not have codes for the EDGAR system. Ms. Puzovic and the Trust have since obtained such codes and thus are being added as Reporting Persons. The line items herein have not changed from the Original Form 3, but have been included in order to gain access to the EDGAR system, which will not accept filings without any line items.
/s/ Jelena Puzovic, Jelena Puzovic, for herself and as the Trustee of the Trust (for itself and as Manager of Macarthur) 03/08/2021
** 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).
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