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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 | ||||||||
Class A-1 Warrant | $ 0.5 | 09/30/2011 | X(1) | 235,000 | 09/30/2009 | 09/30/2014 | Common Stock | 235,000 | $ 0 (1) | 0 | I | By 10X Fund, LP (2) (3) | |||
Class A-1 Warrant | $ 0.5 | 09/30/2011 | X(1) | 310,000 | 11/03/2009 | 11/03/2014 | Common Stock | 310,000 | $ 0 (1) | 0 | I | By 10X Fund, LP (2) (3) | |||
Class A-1 Warrant | $ 0.5 | 09/30/2011 | X(1) | 325,000 | 12/08/2009 | 12/08/2014 | Common Stock | 325,000 | $ 0 (1) | 0 | I | By 10X Fund, LP (2) (3) | |||
Class A-1 Warrant | $ 0.5 | 09/30/2011 | X(1) | 325,000 | 01/29/2010 | 01/29/2015 | Common Stock | 325,000 | $ 0 (1) | 0 | I | By 10X Fund, LP (2) (3) | |||
Class A-1 Warrant | $ 0.5 | 09/30/2011 | X(1) | 335,000 | 03/08/2010 | 03/08/2015 | Common Stock | 335,000 | $ 0 (1) | 0 | I | By 10X Fund, LP (2) (3) | |||
Class A-1 Warrant | $ 0.5 | 09/30/2011 | X(1) | 310,000 | 04/30/2010 | 04/30/2015 | Common Stock | 310,000 | $ 0 (1) | 0 | I | By 10X Fund, LP (2) (3) | |||
Class A-1 Warrant | $ 0.5 | 09/30/2011 | X(1) | 570,000 | 05/10/2010 | 05/10/2015 | Common Stock | 570,000 | $ 0 (1) | 0 | I | By 10X Fund, LP (2) (3) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CZIRR JAMES C 425 JANISH DR SANDPOINT, ID 83864 |
X | X | Executive Chairman |
Robert J. Mottern, as attorney in fact for James C. Czirr | 10/06/2011 | |
**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) | On September 30, 2011, 10X Fund, LP exercised 2,410,000 Class A-1 Warrants, and as a result acquired 2,410,000 shares of common stock of the Issuer. The warrants were exercisable at $0.50 per share. The aggregate exercise price was $1,205,000. |
(2) | Reporting Person is a managing member of 10X Capital Management, LLC, a Florida limited liability company acting as the general partner of 10X Fund, L.P., a Delaware limited partnership, and as such, may be deemed to have indirect beneficial ownership of all or a portion of the securities owned directly by 10X Fund, L.P., such portion being equal to 10X Capital Management, LLC's (a) 20% interest in the profits of 10X Fund, L.P., (b) interest in any securities which are used to pay a 2% annual management fee to 10X Capital Management, LLC, and (c) interest in one-half of the Class B Warrants acquired by 10X Fund, L.P. in all closings other than the initial closing held on February 12, 2009, less one Class B Warrant which 10X Capital Management, LLC has committed to reallocate to investors in all prior closings until each such investor has one (1) additional Class B Warrant for each dollar invested. |
(3) | Any such deemed indirect beneficial ownership may also be reduced by Mr. Czirr's proportional ownership in 10X Capital Management, LLC. Mr. Czirr disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. |
(4) | Received as a dividend on Series B Convertible Preferred Stock owned by 10X Fund, LP. |
(5) | Reporting Person received additional shares of Issuer's common stock as dividends in the amount of 6,000 shares. Such shares are held in by a revocable trust in which Reporting Person is the sole trustee and sole beneficiary. The number of shares issuable in payment of dividends is based upon the market price of the common stock, subject to a minimum price of $1.00 per share. |