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) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
See footnote
(5)
|
09/02/2011 |
Â
(6)
|
Common Stock, $0.001 par value per share
|
103,570
(7)
|
$
7
(8)
|
I
|
See footnote
(9)
|
Warrants
|
09/02/2011 |
09/02/2021 |
Common Stock, $0.001 par value per share
|
103,572
(10)
|
$
7
(11)
|
I
|
See footnote
(9)
|
* |
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) |
Michael G. Jesselson's spouse is the direct beneficial owner of these securities. |
(2) |
Represents (i) 10,000 shares of Common Stock held by the Michael G. Jesselson and Linda Jesselson 3/12/84 Trust, (ii) 10,000 shares of Common Stock held by the Michael G. Jesselson and Linda Jesselson 11/26/85 Trust, (iii) 10,000 shares of Common Stock held by the Michael G. Jesselson and Linda Jesselson 3/31/87 Trust and (iv) 7,500 shares of Common Stock held by the Michael G. Jesselson and Linda Jesselson 6/30/93 Trust. |
(3) |
The individual trusts named in Footnote 2 are the direct beneficial owners of these securities. Michael G. Jesselson is the trustee of each of these trusts. |
(4) |
Represents 7,500 shares of Common Stock held in an individual retirement account. |
(5) |
Series A Convertible Perpetual Preferred Stock, $0.001 par value per share. |
(6) |
The Series A Convertible Perpetual Preferred Stock has no expiration date. |
(7) |
Represents (i) 71,428 shares of Common Stock initially issuable upon conversion of 500 shares of Series A Convertible Perpetual Preferred Stock held by the Michael G. Jesselson 12/18/80 Trust and (ii) 32,142 shares of Common Stock initially issuable upon conversion of 225 shares of Series A Convertible Perpetual Preferred Stock held by the Michael G. Jesselson 4/8/71 Trust, in each case subject to adjustment as set forth in the Certificate of Designation of Series A Convertible Perpetual Preferred Stock, filed as Exhibit 4.1 to the Issuer's Current Report on Form 8-K filed with the SEC on September 6, 2011 (the "Certificate of Designation"). |
(8) |
The initial conversion price of the Series A Convertible Perpetual Preferred Stock is $7 per share of Common Stock, subject to adjustment as set forth in the Certificate of Designation. |
(9) |
The Michael G. Jesselson 12/18/80 Trust and the Michael G. Jesselson 4/8/71 Trust are the direct beneficial owners of these securities. Michael G. Jesselson is the beneficiary of each of these trusts. |
(10) |
Represents (i) 71,429 shares of Common Stock initially issuable upon the exercise of 71,429 Warrants held by the Michael G. Jesselson 12/18/80 Trust and (ii) 32,143 shares of Common Stock initially issuable upon the exercise of 32,143 Warrants held by the Michael G. Jesselson 4/8/71 Trust, in each case subject to adjustment as set forth in the Form of Warrant Certificate, filed as Exhibit 4.2 to the Issuer's Current Report on Form 8-K filed with the SEC on September 6, 2011 (the "Warrant Certificate"). |
(11) |
The initial exercise price of the Warrants is $7 per share of Common Stock, subject to adjustment as set forth in the Warrant Certificate. |