|
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 | (2) | 11/28/2007 | P | 1,000,000 | 11/28/2007 | (1) | Common Stock | 4,623,589 | $ 2.6816 (2) | 1,000,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
GUEZ PAUL C/O BLUE HOLDINGS, INC. 5804 E. SLAUSON AVENUE COMMERCE, CA 90040 |
X | X |
/s/ Paul Guez | 11/30/2007 | |
**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 Amended and Restated Series A Convertible Preferred Stock has no expiration date. |
(2) | On 11/28/07, Issuer rescinded the purchase transaction of the Series A Preferred Stock (effective as of 11/13/07) and entered into a new transaction with Reporting Person pursuant to an agreement dated 11/28/07, whereby Issuer issued 1,000,000 shares of Series A Convertible Preferred Stock (New Series A Preferred) in consideration for (i) cancellation of $2,556,682 of advances made to Issuer by Reporting Person, and (ii) a cash investment of $125,000. Each New Series A Preferred share is convertible into a share of the common stock of Issuer based on a conversion formula equal to the price per share ($2.681682) divided by the conversion price ($0.58), subject to adjustment in accordance with the certificate of designation for the New Series A Preferred. The conversion price equals the consolidated closing bid price for a share of Issuer's common stock prior to the signing of the definitive agreement governing the transaction. |