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 | ||||
Warrant | 06/01/2012 | 06/01/2017 | Common Stock | 11,250,000 | $ 0.22 | I | See Footnote (2) |
Warrant | 06/28/2012 | 06/01/2017 | Common Stock | 3,750,000 | $ 0.22 | I | See Footnote (3) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
VISSER BARNEY D 5641 NORTH BROADWAY DENVER, CO 80216 |
 |  X |  |  |
Visser Precision Cast, LLC 5641 NORTH BROADWAY DENVER, CO 80216 |
 |  X |  |  |
Furniture Row, LLC 5641 NORTH BROADWAY DENVER, CO 80216 |
 |  X |  |  |
/s/Gregory Ruegsegger, Power of Attorney | 06/07/2012 | |
**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) | These securities are owned directly by Norden, LLC, which is owned by Furniture Row, LLC. Furniture Row, LLC is controlled by Barney Visser. Furniture Row, LLC and Mr. Visser are indirect beneficial owners of these securities. |
(2) | These securities are owned directly by Visser Precision Cast, LLC ("VPC"), which is owned by Furniture Row, LLC. Furniture Row, LLC and Mr. Visser are indirect beneficial owners of these securities. |
(3) | VPC has the right to purchase these securities on June 28, 2012. Furniture Row, LLC and Mr. Visser are indirect beneficial owners of these securities. |