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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
02/23/2023
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3. Issuer Name and Ticker or Trading Symbol
PC TEL INC
[ PCTI ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
| X |
Officer (give title below) |
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Other (specify below) |
| Vice President |
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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)
| X |
Form filed by One Reporting Person |
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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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| Common |
10,955 |
D |
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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 |
| Explanation of Responses: |
| Remarks: |
|
|
Kevin J McGowan, Atty-in-Fact |
03/03/2023 |
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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. |
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
Know all by these presents that the undersigned hereby makes, constitutes and
appoints each of Kevin J. McGowan, Darren Waunn, Fritz E. Freidinger, and
Michelle Henry of PCTEL, Inc. (the "Corporation") as the undersigned's true and
lawful attorney(s)-in-fact and agents, with full power and authority, on behalf
of and in the name, place and stead of the undersigned to complete and execute
such Forms 144, Forms 3, 4 and 5, and such other forms as such
attorney(s)-in-fact and agents shall in his/her discretion determine to be
required or advisable pursuant to Rule 144 promulgated under the Securities Act
of 1933 (as amended), Section 16 of the Securities Exchange Act of 1934 (as
amended) and the rules and regulations promulgated thereunder, or any successor
laws and regulations, (collectively, the "Exchange Act") as a consequence of the
undersigned's ownership, acquisition or disposition of securities of the
Corporation, and to do all acts necessary in order to file such Forms with the
Securities and Exchange Commission, any securities exchange or national
association, the Corporation and such other person or agency as the
attorney-in-fact and agent shall deem appropriate. The undersigned hereby
ratifies and confirms all that each such attorney-in-fact and agent shall do or
cause to be done by virtue hereof.
This Limited Power of Attorney does not relieve the undersigned from
responsibility for compliance with the undersigned's obligations under the
Exchange Act, including without limitation the reporting requirements under
Section 16 of the Exchange Act.
This Limited Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the
Corporation, unless earlier revoked by the undersigned in a signed writing
delivered to such attorneys-in-fact and agents.
IN WITNESS WHEREOF, the undersigned has caused this Limited Power of Attorney to
be executed as of this ____02nd__ day of ____March______, 2023____.
__/s/ Daniel Laredo___________
Signature
___Daniel Laredo_____________
Printed Name
Commonwealth of Virginia
City of Hampton
On this _02nd_ day of _March__________, 2023_____, ___Daniel
Laredo______________ personally appeared before me and acknowledged that s/he
executed the foregoing instrument for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
__/s/ _ Jeannie Eunice Franks______
Notary Public
___04/30/2025________________
My Commission Expires SEAL
