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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 | ||||||||
Common Stock Purchase Warrant (Right to Buy) | $ 1.5 | 05/25/2005 | X | 30,000 | 01/12/2004 | 06/14/2005 | common stock | 30,000 | (2) | 60,000 (1) | D | ||||
Common Stock Purchase Warrant (Right to Buy) | $ 1.5 | 05/25/2005 | S | 20,000 | 01/12/2004 | 06/14/2005 | common stock | 20,000 | $ 0.9234 | 60,000 (1) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FRYKMAN EDWARD W 1118 EAST GREEN STREET PASADENA, CA 91106 |
X |
Edward W. Frykman | 05/25/2005 | |
**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) | Shares acquired upon exercise of stock purchase warrants in anticipation of redemption of warrants by the Company on June 15, 2005. Mr. Frykman owned 40,000 shares of common stock, 50,000 stock purchase warrants and 60,000 stock purchase warrants prior to this transaction. After the transaction, he owns 70,000 shares of common stock and 60,000 stock options granted in connection with his service as a director of the Company. |
(2) | Warrant granted in connection with the formation of the Company in connection with Mr. Frykman's service as a director of the Company. |