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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 |
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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) |
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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
10% Debentures | $ 0.0167 | 11/14/2005 | C | 264,103,114 | 10/21/2005 | 10/21/2007 | Common Stock | 264,103,114 | $ 0 (3) | 0 | I (1) | Held by Stichting Gemeenschappelijk Bezit LTC (1) | |||
Series B Convertible Stock | $ 0 | 11/14/2005 | C | 100,000 | 11/14/2005 | 11/14/2007 | Common Stock | 264,103,114 | $ 0 (3) | 264,103,114 | I (1) | Held by Stichting Gemeenschappelijk Bezit LTC (1) | |||
Warrants | $ 0.38 | 10/21/2005 | 10/21/2010 | Common Stock | 2,205,262 | 2,205,262 | I (1) | Held by Stichting Gemeenschappelijk Bezit LTC (1) | |||||||
Warrants | $ 0.0625 | 08/30/2004 | 08/30/2008 | Common Stock | 17,050,000 | 17,050,000 | I (1) | Held by Stichting Gemeenschappelijk Bezit LTC (1) | |||||||
Warrants | $ 0.075 | 08/30/2004 | 08/30/2008 | Common Stock | 17,050,000 | 17,050,000 | I (1) | Held by Stichting Gemeenschappelijk Bezit LTC (1) | |||||||
Warrants | $ 0.0625 | 08/30/2004 | 08/30/2008 | Common Stock | 18,400,000 | 18,400,000 | I (1) | Held by Stichting Gemeenschappelijk Bezit LTC (1) | |||||||
Warrants | $ 0.075 | 08/30/2004 | 08/30/2008 | Common Stock | 18,400,000 | 18,400,000 | I (1) | Held by Stichting Gemeenschappelijk Bezit LTC (1) | |||||||
Warrants | $ 2 | 04/13/2004 | 04/13/2009 | Common Stock | 1,500,000 | 1,500,000 | I (1) | Held by Stichting Gemeenschappelijk Bezit LTC (1) | |||||||
Warrants | $ 2.4 | 04/13/2004 | 04/13/2009 | Common Stock | 9,889,625 | 9,889,625 | I (1) | Held by Stichting Gemeenschappelijk Bezit LTC (1) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ARCH HILL CAPITAL NV PARKWEG 2 2585 JJS GRAVENHAGE, P7 |
X | |||
Stichting Gemeenschappelijk Bezit LTC PARKWEG 2 2585 JJ'S GRAVENHAGE, P7 |
X |
/s/ Harry H. van Andel | 11/16/2005 | |
**Signature of Reporting Person | Date |
* | 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) | Held by Stichting Gemeenschappelijk Bezit LTC, an entity controlled by Arch Hill Capital, N.V. |
(2) | Held by Stichting Gemeenschappelijk Bezit GAIA, an entity controlled by Arch Hill Capital, N.V. |
(3) | $4,410,522 of convertible debentures and 2,205,262 warrants were issued in exchange for the cancellation of debt on 10/21/05. $4,410,522 of convertible debentures were converted into 100,000 shares of Series B Convertible Preferred Stock on 11/14/05 in lieu of common stock. |