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*
Amster Howard

(Last) (First) (Middle)
C/O MEDLEY CAPITAL CORPORATION
280 PARK AVENUE, 6TH FLOOR EAST

(Street)
NEW YORK NY 10017

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/19/2020
3. Issuer Name and Ticker or Trading Symbol
Medley Capital Corp [ MCC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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, par value $0.001 per share 76,387 D
Common Stock, par value $0.001 per share 74,844 I By Pleasant Lake Apts LP(1)
Common Stock, par value $0.001 per share 44,282 I By Howard Amster 2019 Charitable Remainder Unitrust 1(2)
Common Stock, par value $0.001 per share 2,525 I By Howard Amster 2019 Charitable Remainder Unitrust 2(3)
Common Stock, par value $0.001 per share 2,410 I By Howard Amster 2019 Charitable Remainder Unitrust 3(4)
Common Stock, par value $0.001 per share 2,270 I By Howard Amster 2019 Charitable Remainder Unitrust 4(5)
Common Stock, par value $0.001 per share 1,350 I By Howard Amster 2019 Charitable Remainder Unitrust 5(6)
Common Stock, par value $0.001 per share 445 I By Howard Amster 2019 Charitable Remainder Unitrust 7(7)
Common Stock, par value $0.001 per share 422 I By Howard Amster and Tamara Gould Charitable Remainder Unitrust U/A DTD 03/18/1993(8)
Common Stock, par value $0.001 per share 1,710 I By Howard Amster Charitable Remainder Unitrust U/A DTD 04/22/1998(9)
Common Stock, par value $0.001 per share 455 I By Howard Amster Charitable Remainder Unitrust U/A DTD 01/11/2005(10)
Common Stock, par value $0.001 per share 1,415 I By Pleasant Lake Skoien Investments LLC(11)
Common Stock, par value $0.001 per share 12,749 I By Laughlin Holdings LP(12)
Common Stock, par value $0.001 per share 4,500 I By Ramat Securities Ltd(13)
Common Stock, par value $0.001 per share 6,489 I By Amster Trading Company Charitable Remainder Unitrust U/A 03/10/2003(14)
Common Stock, par value $0.001 per share 200 I By Samuel J. Heller Trust U/A 08/07/2002(15)
Common Stock, par value $0.001 per share 557 I By Pleasant Lake Corp(16)
Common Stock, par value $0.001 per share 61 I By Amster Trading Company(17)
Common Stock, par value $0.001 per share 1,731 I By Amster Limited Partnership(18)
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
Explanation of Responses:
1. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as the President of Pleasant Lakes Apts Corp, which is the General Partner of Pleasant Lake Apts LP.
2. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as trustee of Howard Amster 2019 Charitable Remainder Unitrust 1.
3. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as trustee of Howard Amster 2019 Charitable Remainder Unitrust 2.
4. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as trustee of Howard Amster 2019 Charitable Remainder Unitrust 3.
5. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as trustee of Howard Amster 2019 Charitable Remainder Unitrust 4.
6. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as trustee of Howard Amster 2019 Charitable Remainder Unitrust 5.
7. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as trustee of Howard Amster 2019 Charitable Remainder Unitrust 7.
8. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as trustee of Howard Amster and Tamara Gould Charitable Remainder Unitrust U/A DTD 03/18/1993.
9. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as trustee of Howard Amster Charitable Remainder Unitrust U/A DTD 04/22/1998.
10. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as trustee of Howard Amster Charitable Remainder Unitrust U/A DTD 01/11/2005.
11. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as the President of Pleasant Lake Apts Corp, which is the General Partner of Pleasant Lakes Apts LP of which is the manager of Pleasant Lake Skoien Investments LLC.
12. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as the President of Pleasant Lake Apts Corp, which is the General Partner of Pleasant Lakes Apts LP of which is the manager of Laughlin Holdings LP.
13. These shares are deemed to be beneficially owned by Howard Amster as a result of being the majority member of Ramat Securities Ltd.
14. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as trustee of the Amster Trading Company Charitable Remainder Unitrust U/A 03/10/2003
15. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as trustee of the Samuel Heller Trust U/A 08/07/2002.
16. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as President of Pleasant Lake Corp.
17. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as general partner of Amster Trading Company.
18. These shares are deemed to be beneficially owned by Howard Amster as a result of his capacity as general partner of Amster Limited Partnership
Remarks:
Howard Amster 08/24/2020
** 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.