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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 | |||||||||
Warrants to purchase common stock (1) | $ 0.35 | 06/30/2005 | 06/30/2005 | J | 526,273 | Â | 07/18/2005 | 11/08/2010 | Common Stock | $ 0.35 | 526,273 | Â | ||
Options to purchase common stock (2) | $ 0.66 | 08/27/2004 | Â | J | 100,000 | Â | 08/27/2004 | 08/27/2009 | Common stock | $ 0.66 | 100,000 | Â | ||
Options to purchase common stock (3) | $ 0.5 | 12/15/2005 | 12/15/2005 | J | 400,000 | Â | 12/15/2005 | 12/15/2010 | Common Stock | $ 0.5 | 400,000 | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ALVERSON WILLIAM M 95 ARGONAUT ST. ALISO VIEJO, CA 92656 |
 X |  X |  CEO & President |  |
/s/ William Alverson | 12/20/2006 | |
**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) | The warrants were issued to Mr. Alverson in connection with the conversion of the loan from Mr. Alverson to the Company in the amount of $368,390. |
(2) | Options issued for services rendered in fiscal year 2004. |
(3) | Options issued and vested pursuant to the Employment Agreement with the Company for fiscal year 2006. Pursuant to the terms of the Employment Agreement, Mr. Alverson is entitled to receive a total of 2,000,000 options to purchase shares of common stock which vest annually at 400,000 options for a total period of 5 years. |