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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 | $ 1.25 | 12/27/2005 | D | 2,000,000 | 01/31/2005 | 01/31/2010 | Common Stock | 2,000,000 | (1) | 3,528,759 | D | ||||
Common Stock Purchase Warrant | $ 1.25 | 12/27/2005 | D | 779,562 | 01/31/2005 | 01/31/2010 | Common Stock | 779,562 | (1) | 3,528,759 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CRESTVIEW CAPITAL MASTER LLC 95 REVERE DRIVE, SUITE A NORTHBROOK, IL 60062 |
X |
CRESTVIEW CAPITAL MASTER, LLC /s/ Robert Hoyt, Manager | 03/21/2006 | |
**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) | Non-cash consideration, see below |
Remarks: On December 27, 2005, the Reporting Person entered into an agreement with the Issuer whereby the Reporting Person exchanged an aggregate of 2,779,562 Common Stock Purchase Warrants for 1,528,759 newly issued shares of Common Stock of the Issuer. The Reporting Person paid no cash consideration in this transaction. As previously reported on Form 3 dated January 31, 2005, the 2,779,562 Common Stock Purchase Warrants contained a beneficial ownership limitation on exercise to the extent that such exercise would result in, together with other securities of the Issuer held by the Reporting Person and its Affiliates, the Reporting Person beneficially owning in excess of 9.99% of the issued and outstanding Common Stock of the Issuer. Immediately prior to this transaction, the Reporting Person beneficially owned 39.1% of the issued and outstanding Common Stock, thus the Common Stock Purchase Warrants were not currently exercisable at the time of this transaction. The Reporting Person beneficially owns 3,528,759 shares of Common Stock or 49.9% of the 7,068,489 issued and outstanding shares of Common Stock of the Issuer as of December 27, 2005, based on the sum of (i) 3,539,730 issued and outstanding shares, as reported in the Issuer's Form 10-QSB filed in November 11, 2005, (ii) 2,000,000 shares of Common Stock underlying the currently-convertible Subordinated Secured Promissory Note held by the Reporting Person and (iii) 1,528,759 newly issued shares of Common Stock held by the Reporting Person. |