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 |
Warrant to Purchase Common Stock
|
10/11/2007 |
10/11/2017(4)
|
Common Stock
|
1,135,420
|
$
0.0001
|
D
|
Â
|
Warrant to Purchase Common Stock
|
10/11/2007 |
10/11/2017(4)
|
Common Stock
|
319,338
|
$
0.0001
|
I
|
See Footnote
(5)
|
Warrant to Purchase Common Stock
|
10/11/2007 |
10/11/2017(4)
|
Common Stock
|
319,338
|
$
0.0001
|
I
|
See Footnote
(6)
|
Warrant to Purchase Common Stock
|
10/11/2007 |
10/11/2017(4)
|
Common Stock
|
2,773,979
|
$
0.0001
|
I
|
See Footnote
(7)
|
* |
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 319,338 shares of Common Stock owned by the Amanda Rappaport Trust (the "Amanda Trust"). Mr. Rappaport, as Trustee
of the Amanda Trust, may be deemed the indirect beneficial owner of these shares of Common Stock since he has sole voting
and investment control over the shares. |
(2) |
Includes 319,338 shares of Common Stock owned by the Kailey Rappaport Trust (the "Kailey Trust"). Mr. Rappaport, as Trustee
of the Kailey Trust, may be deemed the indirect beneficial owner of these shares of Common Stock since he has sole voting
and investment control over the shares. |
(3) |
Includes 2,773,979 shares of Common Stock owned by WestPark Capital Financial Services, LLC ("WestPark LLC"). Mr. Rappaport,
as Chief Executive Officer ("CEO") and Chairman of WestPark LLC, may be deemed the indirect beneficial owner of these shares
of Common Stock since he has sole voting and investment control over the shares. |
(4) |
The Warrant expires on or prior to the close of business on the earlier of (i) October 11, 2017 or (ii) five years from the
date the Issuer consummates a merger or other business combination with an operating business or any other event pursuant to
which the Issuer ceases to be a "shell company," as defined by Rule 12b-2 under the Securities Exchange Act of 1934 and a
"blank check company," as defined by Rule 419 of the Securities Act of 1933. |
(5) |
Includes a warrant to purchase 319,338 shares of Common Stock owned by the Amanda Trust. Mr. Rappaport, as Trustee of the
Amanda Trust, may be deemed the indirect beneficial owner of these securities since he has sole voting and investment
control over the securities. |
(6) |
Includes a warrant to purchase 319,338 shares of Common Stock owned by the Kailey Trust. Mr. Rappaport, as Trustee of the
Kailey Trust, may be deemed the indirect beneficial owner of these securities since he has sole voting and investment
control over the securities. |
(7) |
Includes a warrant to purchase 2,773,979 shares of Common Stock owned by WestPark LLC. Mr. Rappaport, as CEO and Chairman of
WestPark LLC, may be deemed the indirect beneficial owner of these securities since he has sole voting and investment
control over the securities. |