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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 | ||||||||
COMMON STOCK PURCHASE WARRANTS | $ 1.5 | 08/15/2007 | P | 19,799 | 01/18/2006 | (1) | COMMON STOCK | 19,799 | (2) | 194,778 (3) | I | owned by spouse. | |||
COMMON STOCK PURCHASE WARRANTS | $ 2.25 | 08/15/2007 | P | 9,900 | 01/18/2006 | (1) | COMMON STOCK | 9,900 | (2) | 194,778 (3) | I | owned by spouse. | |||
COMMON STOCK PURCHASE WARRANTS | $ 1.5 | 08/15/2007 | P | 39,860 | 04/17/2006 | (1) | COMMON STOCK | 39,860 | (2) | 194,778 (3) | I | owned by spouse. | |||
COMMON STOCK PURCHASE WARRANTS | $ 3 | 08/15/2007 | P | 39,860 | 04/17/2006 | (1) | COMMON STOCK | 39,860 | (2) | 194,778 (3) | I | owned by spouse. |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MASTERS CHARLES G 4902 EISENHOWER BLVD., SUITE 185 TAMPA, FL 33634 |
X | X | PRESIDENT & CEO |
/c/ CHARLES G. MASTERS | 08/15/2007 | |
**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 warrant expires five (5) years from the date of issuance. |
(2) | The aggregate purchase price paid for all of the warrants purchased on August 15, 2007 was $4,000. |
(3) | Includes (a) the warrants referenced in this Form 4, (b) a Series A Common Stock Purchase Warrant for 33,334 shares of common stock, (c) a Series A Common Stock Purchase Warrant for 2,024 shares of common stock; (d) 2,500 shares of Series A Convertible Preferred Stock; and (e) a Series B Common Stock Purchase Warrant for 16,667 shares of common stock. The reporting person and his spouse both disclaim beneficial ownership of the other's securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose. |