|
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 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series C Common Stock Purchase Warrant | $ 0.74 | 07/06/2012(4) | J(4) | 311,925 | (4) | 08/07/2017 | Common Stock (5) | 311,925 (5) | (4) | 0 | D | ||||
Series C Common Stock Purchase Warrant | $ 0.6 | 07/06/2012(4) | J(4) | 311,925 | (4) | 08/07/2017 | Common Stock (5) | 311,925 (5) | (4) | 311,925 | D | ||||
Promissory Note - Aug 2011 Common Stock Warrant | $ 0.85 | 07/06/2012(6) | J(6) | 211,765 | (6) | 08/03/2014 | Common Stock (7) | 211,765 (7) | (6) | 0 | D | ||||
Promissory Note - Aug 2011 Common Stock Warrant | $ 0.6 | 07/06/2012(6) | J(6) | 211,765 | (6) | 08/03/2014 | Common Stock (7) | 211,765 (7) | (6) | 211,765 | D | ||||
Promissory Note - Aug 2011 Common Stock Warrant | $ 0.76 | 07/06/2012(8) | J(8) | 26,316 | (8) | 08/03/2014 | Common Stock (7) | 26,316 (7) | (8) | 0 | D | ||||
The reported transactions involved an amendment of an outsta | $ 0.6 | 07/06/2012(8) | J(8) | 26,316 | (8) | 08/03/2014 | Common Stock (7) | 26,316 (7) | (8) | 23,316 | D | ||||
February 2012 Common Stock Purchase Warrant | $ 0.74 | 07/06/2012(4) | J(4) | 200,001 | (4) | 08/07/2012 | Common Stock (9) | 200,001 (9) | (4) | 0 | D | ||||
February 2012 Common Stock Warrant | $ 0.6 | 07/06/2012(4) | J(4) | 200,001 | (4) | 08/07/2017 | Common Stock (9) | 200,001 (9) | (4) | 200,001 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Struve Clayton A 175 W JACKSON BLVD SUITE 440 CHICAGO, IL 60604 |
X | |||
CSS LLC/IL 175 WEST JACKSON BLVD SUITE 440 CHICAGO, IL 60604 |
(a) |
Clayton A. Struve | 11/20/2012 | |
**Signature of Reporting Person | Date | |
Mitchell R. Bialek | 11/20/2012 | |
**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) | Reporting Person, Clayton Struve, is an Indirect Owner as Member Manager of CSS, LLC of shares purchased by CSS, LLC. CSS,LLC disclaims any beneficial ownership (direct or indirect) of shares held directly by Reporting Person, Clayton Struve. |
(2) | Dividend shares as a result of investment in Series C Preferred shares. |
(3) | Dividend accrual of $22,322 at a rate of .8025 or 27,816 shares |
(4) | The reported transactions involved an amendment of an outstanding warrant, resulting in the deemed cancellation of the old warrant at an exercise price of $0.74 and the grant of a replacement warrant at an exercise price of $0.60. |
(5) | The Series C Common Stock Purchase Warrants contain a limitation on exercise which prevents the Reporting Person from exercising any Warrants if, after giving effect to the exercise, the Reporting Person would beneficially own more than 4.99% of the outstanding shares of Common Stock. The Reporting Person may elect to increase this limitation to 9.99%, 14.99% or 19.99%, upon not less than 61 days prior written notice to the Company. Since the Reporting Person currently beneficially owns more than 9.99% but less than 14.99% of the outstanding shares of Common Stock, the conversion limitation that applies to the Reporting Person is the 14.99% limitation. The Reporting Person disclaims beneficial ownership of such securities except to the extent of the Reporting Person's pecuniary interest in such securities |
(6) | The reported transactions involved an amendment of an outstanding warrant, resulting in the deemed cancellation of the old warrant at an exercise price of $0.85 and the grant of a replacement warrant at an exercise price of $0.60. |
(7) | The Promissory Note-Aug 2011 Common Stock Purchase Warrants contain a limitation on exercise which prevents the Reporting Person from exercising any Warrants if, after giving effect to the exercise, the Reporting Person would beneficially own more than 4.99% of the outstanding shares of Common Stock. The Reporting Person may elect to increase this limitation to 9.99%, 14.99% or 19.99%, upon not less than 61 days prior written notice to the Company. Since the Reporting Person currently beneficially owns more than 9.99% but less than 14.99% of the outstanding shares of Common Stock, the conversion limitation that applies to the Reporting Person is the 14.99% limitation. The Reporting Person disclaims beneficial ownership of such securities except to the extent of the Reporting Person's pecuniary interest in such securities |
(8) | The reported transactions involved an amendment of an outstanding warrant, resulting in the deemed cancellation of the old warrant at an exercise price of $0.76 and the grant of a replacement warrant at an exercise price of $0.60 |
(9) | The February 2012 Common Stock Purchase Warrants contain a limitation on exercise which prevents the Reporting Person from exercising any Warrants if, after giving effect to the exercise, the Reporting Person would beneficially own more than 4.99% of the outstanding shares of Common Stock. The Reporting Person may elect to increase this limitation to 9.99%, 14.99% or 19.99%, upon not less than 61 days prior written notice to the Company. Since the Reporting Person currently beneficially owns more than 9.99% but less than 14.99% of the outstanding shares of Common Stock, the conversion limitation that applies to the Reporting Person is the 14.99% limitation. The Reporting Person disclaims beneficial ownership of such securities except to the extent of the Reporting Person's pecuniary interest in such securities |
Remarks: (a) Reporting Person Clayton A. Struve is a member of manager of CSS, LLC and has indirect beneficial ownership of shares of stock held in the name of CSS, LLC. CSS, LLC disclaims any beneficial ownership (direct or indirect) of shares held directly by Reporting Person, Clayton Struve. |