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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT 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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Purchase warrant | $ 0.38 | 06/05/2012 | Â | J(1) | Â | 34,250,000 | 11/13/2009 | 06/05/2012 | Common | $ 13,015,000 | 0 (2) | By 864930 B.C. Ltd. | ||
15% convertible note | $ 0.04 | 07/24/2012 | Â | A | 625,000 | Â | 07/24/2012 | 06/30/2013 | Common | $ 25,000 | 625,000 | By 864930 B.C. Ltd. | ||
15% convertible note | $ 0.04 | 07/24/2012 | Â | J(3) | 68,835 | Â | 04/17/2013 | 06/30/2013 | Common | $ 2,753.42 | 693,835 | By 864930 B.C. Ltd. |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Beaty Ross J 1550 - 625 HOWE STREET VANCOUVER, BRITISH COLUMBIA, A1 V6C 2T6 |
 |  X |  |  |
/s/ Ross J. Beaty | 04/18/2013 | |
**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) | The expiration of 34,250,000 common stock purchase warrants held by Mr. Beaty, each with an exercise price of $0.38 per share of common stock. |
(2) | This figure corresponds to the expiration of Mr. Beaty's 34,250,000 common stock purchase warrants. |
(3) | This figure corresponds to the accrued interest on the 15% convertible note as of April 17, 2013, which is convertible into common stock on identical terms to the 15% convertible note. |