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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 | ||||||||
5% Convertible Subordinated Note due 2008 | $ 5 | 12/14/2004(2) | H(2) | $ 2,423,775.37 (2) | 02/28/2003 | 05/29/2008 | Common Stock, $.10 par value | 484,755 | $ 2,423,775.37 (2) | $ 21,630,094.63 | I | By Astoria Capital Partners LP (1) | |||
Common Stock Purchase Warrant | $ 2.35 | 12/14/2004 | X | 1,136,555 | 12/01/2000 | 03/16/2005 | Common Stock, $.10 par value | 1,136,555 | (2) | 0 | I | By Astoria Capital Partners, L.P. (1) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ASTORIA CAPITAL PARTNERS L P 1675 S.W. MARLOW AVENUE, SUITE 315 PORTLAND, OR 97225 |
X | |||
KOE RICHARD W 1675 S.W. MARLOW AVENUE, SUITE 315 PORTLAND, OR 97225 |
X | X |
Astoria Capital Partners L.P., By: Astoria Capital Management, By: /s/ Melissa Dehn | 12/16/2004 | |
**Signature of Reporting Person | Date | |
/s/ Melissa Dehn, attorrney in fact for Richard W. Koe | 12/16/2004 | |
**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) | Richard W. Koe is a general partner of the limited partnership and a shareholder of the limited partnership's other general partner. Richard W. Koe disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest in the limited partnership. |
(2) | Effective December 14, 2004, Astoria Capital Partners, L.P. exercised 1,136,555 of a common stock purchase warrant at an exercise price of $2.35 per share for a total exercise price of $2,670,904.25. Concurrent with the exercise, the issuer paid $247,128.88 in accrued interest on the 5% Subordinated Convertible Note and re-paid $2,423,775.37 in principal outstanding on the note and payment in kind notes. |