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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT 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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
STOCK OPTION (RIGHT TO BUY) | $ 1.2 | 07/19/2005 | Â | A4 | 5,000 | Â | Â (2) | 07/19/2010 | Common Stock | (3) | 5,000 | Â | ||
SERIES A CONVERTIBLE PREFERRED STOCK (4) (8) | Â | Â | Â | 3 | Â | Â | Â (7) | 04/19/2010 | Common Stock | Â | 0 | Â | ||
SERIES A CONVERTIBLE PREFERRED STOCK | Â | 11/17/2005 | Â | C4 | Â | 10,974 (1) | Â (7) | 04/19/2010 | Common Stock | (8) | 0 | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FANZILLI FRANK J 5 OLD LANTERN PLACE NORWALK, CT 06851 |
 X |  |  |  |
Frank J. Fanizilli, Jr. | 03/16/2006 | |
**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) | Issued upon the automatic conversion on 11/17/2005 of the Issuer's Series A Convertible Preferred Stock into shares of the Issuer's Common Stock at the ratio of 48.11159 shares of Common Stock for each share of Series A Convertible Preferred Stock held, as provided in the Certificate of Designation, as amended, for the Series A Preferred Stock. |
(2) | The stock option is exercisable as follows: (a) 2,500 shares currently exercisable; (b) 1,250 shares commencing 04/19/2006; and (d) 1,250 shares commencing 07/19/2006. |
(3) | Not Applicable. |
(4) | On July 19, 2005, the reporting person was appointed to the Issuer's Board of Directors. |
(5) | Issued pursuant to a compensation plan for newly elected or appointed non-employee directors adopted by the Issuer's board of directors on 07/19/2005. Under the plan, the reporting person was awarded immediately 40,000 shares of common Stock upon his appointment to the board, of which 20,000 shares vested immediately and 20,000 shares vests on 07/19/2006, subject to forfeiture if the reporting person leaves the board for any reason prior to 07/19/06. |
(6) | 1 for 48.11159. |
(7) | Immediately. |
(8) | 10,974 shares of Series A Preferred Stock was issued to the reporting person in connection with an issuer merger transaction in exchange for shares of common stock of the merged entity at the ratio of 1 share of Series A Preferred Stock for 10 shares of common stock. |