UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
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) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Options | 10/13/2008 | 10/13/2018 | Common Stock | 125,000 (1) | $ 0.385 | D | Â |
Options | 02/06/2009 | 02/06/2019 | Common Stock | 100,000 (2) | $ 0.385 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BAUER ROY N6654 STATE HWY 25 DURAND, WI 54736 |
 X |  |  President |  |
Roy A. Bauer | 02/18/2009 | |
**Signature of Reporting Person | Date |
* | 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) | Mr. Bauer was awarded the option to acquire 125,000 shares of the Company when he was elected to the Board of Directors on October 13, 2008, with a three year vesting, at an exercise price of $0.385 per share, with a ten year term. |
(2) | On February 6, 2009, the Board of Directors of the Company granted Mr. Bauer the option to acquire 100,000 shares, with a three year vesting, at an exercise price of $0.385 per share, with a ten year term. |