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) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Warrants to purchase Common Stock
|
08/12/2004 |
08/12/2006(3)
|
Common Stock
|
25,000
|
$
1
|
D
|
|
Options to purchase Common Stock
|
04/01/2006 |
04/01/2015 |
Common Stock
|
25,000
|
$
1
|
D
|
|
Options to purchase Common Stock
|
07/29/2006 |
07/29/2015 |
Common Stock
|
100,000
|
$
0.85
|
D
|
|
9% Convertible Promissory Note
|
09/23/2005 |
07/31/2006 |
Common Stock
|
35,714
|
$
0.7
|
D
|
|
Warrants to purchase Common Stock
|
09/23/2005 |
08/31/2007 |
Common Stock
|
53,571
|
$
1
|
D
|
|
Options to purchase Common Stock
|
02/21/2007 |
02/21/2016 |
Common Stock
|
59,171
|
$
1.69
|
D
|
|
Options to purchase Common Stock
|
02/21/2007 |
02/21/2016 |
Common Stock
|
150,000
|
$
0.85
|
D
|
|
* |
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) |
Includes 15,100 shares of Common Stock owned jointly with the spouse of the Reporting Person and 19,300 shares of Common Stock held in an Individual Retirement Account established for the benefit of the Reporting Person. |
(2) |
Includes 6,300 shares of Common Stock held by the spouse of the Reporting Person and 13,000 shares of Common Stock held in an Individual Retirement Account established for the benefit of the spouse of the Reporting Person. |
(3) |
As previously reported on Current Reports of Form 8-K filed by the Issuer, the original expiration date of these Warrants, 8/12/2005, was extended for an aggregate period of one year to 8/12/2006. |