UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Subordinated Secured Promissory Note | Â (1) | 01/31/2007 | Common Stock, par value $.00001 | 2,000,000 | $ 1 | D | Â |
Series C Convertible Notes | Â (2) | 03/17/2005 | Series C Convertible Preferred Stock (4) | 2,000,000 (5) | $ 1 | D | Â |
Common Stock Purchase Warrant | Â (1)(3) | 01/31/2010 | Common Stock, par value $.0001 | 2,000,000 | $ 1.25 | D | Â |
Common Stock Purchase Warrant | Â (1)(3) | 01/31/2010 | Common Stock, par value $.0001 | 779,562 | $ 1.25 | D | Â |
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 5(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) | Immediate |
(2) | The Series C Convertible Notes are not exercisable until the Issuer files a Certificate of Designation and receives certain approvals which are not within the Reporting Persons' control. |
(3) | Not currently exercisable as a result of the 9.99% beneficial ownership limitation on exercise that is described above. |
(4) | And Common Stock Purchase Warrants. |
(5) | The Series C Convertible Notes are convertible into 2,000,000 shares of Series C Convertible Preferred Stock and 2,000,000 Common Stock Purchase Warrants. |
 Remarks: On January 31, 2005, the Reporting Person purchased from the Issuer (1) a $2,000,000 Subordinated Secured Promissory Note  that is currently convertible into 2,000,000 shares of Common Stock of the Issuer; (2) Series C Convertible Notes that will  be convertible at a later date (upon the Issuer's filing of a Certificate of Designation and the receipt of certain  approvals) into 2,000,000 shares of Series C Convertible Preferred Stock and 2,000,000 Common Stock Purchase Warrants; and  (3) an aggregate of 2,779,562 Common Stock Purchase Warrants that are not currently exercisable into Common Stock because  such Warrants contains 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 owning in  excess of 9.99% of the issued and outstanding Common Stock of the Issuer.  As a result of these acquisitions, the Reporting  Person beneficially owns 2,000,000 shares of Common Stock or 39.1% of the 5,110,655 issued and outstanding shares of Common  Stock of the Issuer, based on the sum of (i) 3,110,655 issued and outstanding shares of Common Stock, as reported by the  Issuer in its Schedule 14C filed on March 11, 2005, and (ii) 2,000,000 shares of Common Stock underlying the  currently-convertible Subordinated Secured Promissory Note held by the Reporting Person. |