Initial Statement of Beneficial Ownership (3)
09 Novembro 2022 - 6:29PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
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Sanda Par Olof |
2. Date of Event Requiring Statement (MM/DD/YYYY)
10/31/2022
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3. Issuer Name and Ticker or Trading Symbol
Bluerock Homes Trust, Inc. [BHM]
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(Last)
(First)
(Middle)
501 N. BIRCH RD, UNIT 3 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
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(Street)
FORT LAUDERDALE, FL 33304
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
___ 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
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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) |
| Class A Common Stock, Par Value $0.01 per share | 66120 | D (1) | |
| Class A Common Stock, Par Value $0.01 per share | 350162 | I | See footnote (1)(2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4) | 2. Date Exercisable and Expiration Date
(MM/DD/YYYY) | 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) |
| Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Explanation of Responses: |
| (1) | The Reporting Persons are jointly filing this Form 3 pursuant to Rule 16a-3(j) under the Exchange Act. Par Sanda is signing individually and as the Managing Member of Sand Capital. |
| (2) | 350,162 shares of Class A common stock of Bluerock Homes Trust, Inc. ("BHM") is held by Sand Capital Associates, LLC ("Sand Capital"). Par Sanda, as the Managing Member of Sand Capital, may be deemed to beneficially own the 350,162 shares of Class A common stock of BHM held by Sand Capital. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Sanda Par Olof
501 N. BIRCH RD, UNIT 3
FORT LAUDERDALE, FL 33304 |
| X |
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SAND CAPITAL ASSOCIATES LLC
501 N. BIRCH RD, UNIT 3
FORT LAUDERDALE, FL 33304 |
| X |
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Signatures
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| /s/ Par Sanda, Managing Member of Sand Capital Associates, LLC | | 11/9/2022 |
| **Signature of Reporting Person | Date |
| /s/ Par Sanda | | 11/9/2022 |
| **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 control number. |
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