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 | ||||
Stock Option | Â (1) | Â (1) | Common | 275,000 | $ 0.1 | D | Â |
Stock Option | Â (2) | Â (2) | Common | 225,000 | $ 0.14 | D | Â |
Stock Option | Â (3) | Â (3) | Common | 167,000 | $ 0.2 | D | Â |
Stock Option | Â (5) | Â (4) | Common | 166,000 | $ 0.2 | D | Â |
Stock Option | Â (5) | Â (5) | Common | 166,000 | $ 0.25 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Chachko Paul 141 WEST FRONT STREET SUITE 410 RED BANK, NJ 07701 |
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/s/Paul Chachko | 11/14/2011 | |
**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) | Option will vest as to 1/6th of the shares on a monthly basis following the effective date. The option will be fully vested and exercisable six months from the effective date. |
(2) | Option will vest as to 1/12th of the shares on a monthly basis following the effective date. The option will be fully vested and exercisable twelve months from the effective date. |
(3) | Option will vest as to 1/18th of the shares on a monthly basis following the effective date. The option will be fully vested and exercisable eighteen months from the effective date. |
(4) | Option will vest as to 1/12th of the shares on a monthly basis following the effective date. The option will be fully vested six month from the effective date but exercisable only if the Company receive private financing of not less than $1,000,000 within 18 months after the effective date. |
(5) | Option will vest as to 1/12th of the shares on a monthly basis following the effective date. The option will be fully vested from the effective date but exercisable only if the six month moving average of the Company's per share price is $0.25 of more for any six month periods after the first six months following the effective date. |