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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrant (right to buy) | $ 0.3 | 06/30/2011 | M | 182,000 (1) | 09/28/2010 | 09/28/2015 | Common Stock | 182,000 | $ 0 | 0 | I | By Syzygy Licensing LLC |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BARNES JAMES A 1941 RAMROD AVENUE, #100 HENDERSON, NV 89014 |
CFO, Treasurer and Secretary |
/s/ JAMES A BARNES | 07/01/2011 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | Syzygy Licensing exercised warrants on 520,000 shares with proceeds offset against related note principal owed to it by the Company. Mr. Barnes indirect pecuniary interest in the warrants and shares held by Syzygy is 182,000. |
(2) | The Company issued 170,959 shares of stock in exchange for $104,000 principal and $15,671 of interest on note owed to Syzygy. Mr. Barnes indirect pecuniary interest in the shares acquired is 59,836 shares. |
(3) | Mr. Barnes disclaims any beneficial interest in the shares held by spouse's personal retirement plan. |