1
|
NAME OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Barry Honig
|
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
|
(a) ¨
(b) ¨ |
3
|
SEC USE ONLY
|
|
4
|
CITIZENSHIP OR PLACE OF ORGANIZATION
United States
|
NUMBER OF SHARES
|
5
|
SOLE VOTING POWER
448,045 (1)
|
BENEFICIALLY
OWNED BY
|
6
|
SHARED VOTING POWER
17,046 (2)
|
EACH
REPORTING
|
7
|
SOLE DISPOSITIVE POWER
448,045 (1)
|
PERSON WITH
|
8
|
SHARED DISPOSITIVE POWER
17,046 (2)
|
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
465,091(1) (3)
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
|
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
9.1% (3)
|
12
|
TYPE OF REPORTING PERSON*
IN
|
(1)
|
Excludes shares underlying a Senior Secured Promissory Note (“Note I”) in the amount of $247,300 with a conversion price of 90% of the closing price of the Issuer’s Common Stock on February 1, 2013 that Mr. Honig jointly owns with another individual. Note I may not be converted into common stock to the extent that such conversion would cause the Reporting Persons’ beneficial ownership to exceed 4.99%. Also excludes shares underlying a promissory note (“Note II”) in the amount of $75,000 with a conversion price equal to the lower of (i) $0.125 per share or (ii) 90% of the then market price per share of Common Stock that Mr. Honig jointly owns with another individual. Note II may be converted into common stock within 60 days.
|
(2)
|
Held by GRQ Consultants, Inc. 401K Plan, which are deemed to be indirectly owned and controlled by Barry Honig.
|
(3)
|
Based on 5,114,280 shares outstanding as of November 12, 2012.
|
1
|
NAME OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
GRQ Consultants, Inc. 401K
|
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
|
(a) ¨
(b) ¨ |
3
|
SEC USE ONLY
|
|
4
|
CITIZENSHIP OR PLACE OF ORGANIZATION
Florida
|
NUMBER OF SHARES
|
5
|
SOLE VOTING POWER
0
|
BENEFICIALLY
OWNED BY
|
6
|
SHARED VOTING POWER
17,046 (1)
|
EACH
REPORTING
|
7
|
SOLE DISPOSITIVE POWER
0
|
PERSON WITH
|
8
|
SHARED DISPOSITIVE POWER
17,046 (1)
|
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
17,046 (1)
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
|
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
* (2)
|
12
|
TYPE OF REPORTING PERSON*
OO
|
*
|
Less than 1%
|
(1)
|
Held by GRQ Consultants, Inc. 401K Plan, which are deemed to be indirectly owned and controlled by Barry Honig.
|
(2)
|
Based on 5,114,280 shares outstanding as of November 12, 2012.
|
Item 3.
|
Type of Person
|
(1)
|
Includes 17,046 shares of common stock held by GRQ Consultants, Inc. 401K Plan, which are deemed to be indirectly owned and controlled by Barry Honig.
|
(2)
|
Excludes shares underlying a Senior Secured Promissory Note (“Note I”) in the amount of $247,300 with a conversion price of 90% of the closing price of the Issuer’s Common Stock on February 1, 2013 that Mr. Honig jointly owns with another individual. Note I may not be converted into common stock to the extent that such conversion would cause the Reporting Persons’ beneficial ownership to exceed 4.99%. Also excludes shares underlying a promissory note (“Note II”) in the amount of $75,000 with a conversion price equal to the lower of (i) $0.125 per share or (ii) 90% of the then market price per share of Common Stock that Mr. Honig jointly owns with another individual. Note II may be converted into common stock within 60 days.
|
(3)
|
Based on 5,114,280 shares outstanding as of November 12, 2012.
|
Item 7.
|
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported by the Parent Holding Company.
|
GRQ Consultants, Inc. 401K Plan
|
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Date: November 23, 2012
|
By:
|
/s/ Barry Honig
|
|
Barry Honig
|
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Date: November 23, 2012
|
By:
|
/s/ Barry Honig
|
|
Barry Honig
|