4: Statement of changes in beneficial ownership of securities
Published on September 27, 2005
|
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) |
(e.g., puts, calls, warrants, options, convertible securities)
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 | ||||||||
9% Convertible Notes due July 31, 2006 | $ 0.70 | 09/23/2005 | P | $ 25,000 | 09/23/2005 | 07/31/2006 | Common Stock | 35,714 | $ 0.70 | 647,670 (1) | I | Pension Plan | |||
Warrants to Purchase Common Stock | $ 1 | 09/23/2005 | P | 53,571 | 09/23/2005 | 08/31/2007 | Common Stock | 53,571 | $ 0 | 701,241 (1) (2) | I | Pension Plan |
Reporting Owners
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MCKINNON BRUCE 5125 LANKERSHIM BOULEVARD NORTH HOLLYWOOD, CA 91601 |
X | Chief Operating Officer |
Signatures
Bruce McKinnon | 09/27/2005 | |
**Signature of Reporting Person | Date |
Explanation of Responses:
* | 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) | Includes warrants to purchase 25,000 shares of Common Stock held by the KZ Golf Defined Benefit Pension Plan in which Mr. McKinnon is a participant. |
(2) | Includes 35,714 shares of Common Stock issuable on conversion of the 9% Convertible Note due July 31, 2006 held by the KZ Golf Defined Benefit Pension Plan in which Mr. McKinnon is a participant. |