|
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 |
|
| |||||||||||||||||||||||||||||
|
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) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Convertible Preferred Stock | (1) | 06/08/2012 | C | 500,000 | (1) | (1) | Common Stock | 2,500,000 | (1) | 0 | I | By Sergio Zyman & Co. | |||
Restricted Stock Units (2) | (3) | 06/08/2012 | A | 2,500,000 | (3) | (3) | Common Stock | 2,500,000 | (2) | 2,500,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Zyman Sergio 100 SOUTH POINTE DRIVE NUMBER 2905 MIAMI, FL 33139 |
X | Executive Chairman |
/s/ Sergio Zyman | 06/18/2012 | |
**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) | Each share of Series A automatically converted into five shares of the issuer's common stock when the issuer effectuated a reverse stock split (which occurred on June 8, 2012). The Series A expired at the time of conversion. The Series A were purchased in issuer's private placement offering for $500,000. |
(2) | These securities were inadvertently included on the reporting person's prior ownership reports as shares of common stock. The issuer's board of directors issued the reporting person restricted stock units in connection with the reporting person's appointment as a director, contingent upon the issuer effectuating the reverse stock split. The only shares of common stock held by the reporting person are reported on the first line of Table I. |
(3) | Each restricted stock unit represents a contingent right to receive one share of the issuer's common stock. The restricted stock units vest in 24 equal monthly increments beginning July 8, 2012. |
Remarks: Exhibit 24 - Power of Attorney |