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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 | ||||||||
Series I Convertible Preferred Stock (2) | (2) | 12/22/2010 | O | 1,750,000 | 12/22/2010 | 12/31/2010 | Common Stock | 1,750,000 | $ 5 | 1,750,000 | D | ||||
Series I Convertible Preferred Stock (3) | (3) | 12/22/2010 | C | 1,750,000 | 12/22/2010 | 12/31/2010 | Common Stock | 1,750,000 | (3) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
America Capital Energy Corp CHRYSLER BUILDING 405 LEXINGTON AVENUE, 65TH FLOOR NEW YORK, NY 10174 |
X |
/s/ Richard B. Williams, Executive Vice President | 12/23/2010 | |
**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) | Please see Footnote (3). |
(2) | The reporting person exercised an option to purchase 1,750,000 shares of Series I Convertible Preferred Stock of the issuer for an exercise price of $8,750,000 on 12/22/2010. |
(3) | Pursuant to the terms of the Certificate of Designation, Preferences and Rights of Series I Convertible Preferred Stock, such preferred stock was converted, based on one share of common stock for each share of Series I Convertible Preferred Stock, into 1,750,000 shares of common stock upon the reporting person's designation of a director to the Board of Directors of the issuer on 12/22/2010. |