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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 | ||||||||
Convertible Promissory Notes | $ 0.6392 (1) | 12/17/2007 | C | $ 2,039,679.43 (1) | (1) | (1) | Common Stock | 3,190,988 (1) | $ 0 | $ 595,336 (2) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
PYXIS INNOVATIONS INC 7575 FULTON STREET EAST ADA, MI 49355-0001 |
X | |||
Alticor Global Holdings Inc. 7575 FULTON STREET EAST ADA, MI 49355-0001 |
X | |||
ALTICOR HOLDINGS INC 7575 FULTON STREET EAST ADA, MI 49355-0001 |
X | |||
ALTICOR INC 7575 FULTON STREET EAST ADA, MI 49355-0001 |
X |
/s/ Kim S. Mitchell, Assistant Secretary | 12/19/2007 | |
**Signature of Reporting Person | Date | |
ALTICOR GLOBAL HOLDINGS INC., /s/ Kim S. Mitchell, Assistant Secretary | 12/19/2007 | |
**Signature of Reporting Person | Date | |
ALTICOR HOLDINGS INC. (NKA SOLSTICE HOLDINGS INC.), /s/ Kim S. Mitchell, Assistant Secretary | 12/19/2007 | |
**Signature of Reporting Person | Date | |
ALTICOR INC., /s/ Kim S. Mitchell, Assistant Secretary | 12/19/2007 | |
**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) | Pyxis held convertible promissory notes issued by the Issuer with an aggregate original principal amount of $2,000,000 which it elected to convert on December 17, 2007. The original principal amount of the convertible promissory notes, plus accrued interest thereon, was convertible into common stock at any time at a conversion price equal to two times the conversion price of the Issuer's Series A Preferred Stock in effect at the time of the conversion and the note was convertible at any time at the option of Pyxis. |
(2) | Pyxis holds a convertible promissory note issued by the Issuer with an original principal amount of $595,336. The original principal amount of the convertible promissory note, plus accrued interest thereon, is convertible into the Issuer's common stock at any time at the option of Pyxis. This promissory note will be convertible into shares of common stock at a conversion price equal to two times the conversion price of the Issuer's Series A Preferred Stock in effect at the time of conversion. As of September 30, 2007, the convertible promissory note would have been convertible into 861,842 shares of the Issuer's common stock. |