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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 | ||||||||
Series A 0% Convertible Preferred Stock (1) | $ 3 | 11/01/2012 | J(1) | 646,479 | 11/01/2012 | (2) | Common Stock | 646,479 | $ 0 | 1,633,333 | I | See Footnotes (3) (4) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
NORO-MOSELEY PARTNERS VI, L.P. 4200 NORTHSIDE PARKWAY N.W. BUILDING 9 ATLANTA, GA 30327 |
X | |||
Moseley & Co VI, LLC 4200 NORTHSIDE PARKWAY N.W. BUILDING 9 ATLANTA, GA 30327 |
X |
Allen Moseley, AS CLASS A MEMBER OF EACH REPORTING ENTITY | 09/05/2013 | |
**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) | On November 1, 2012, following the receipt of stockholder approval by the Issuer, the Reporting Persons acquired 646,479 shares of Series A 0% Convertible Preferred Stock as a result of the automatic conversion of all the Convertible Subordinated Notes previously owned by the Reporting Persons. No consideration was paid to effect this conversion. |
(2) | The Series A 0% Convertible Preferred Stock is convertible at any time and has no expiration date. |
(3) | Report filed jointly by Noro-Moseley Partners VI, L.P. (the "Limited Partnership") and its general partner, Moseley and Company VI, LLC. |
(4) | The foregoing securities are owned directly by the Limited Partnership. Moseley and Company VI, LLC, as the Limited Partnership's general partner, may be deemed to beneficially own all of the foregoing securities. |