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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 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 | ||||||||
Series E Convertible Preferred Stock | $ 0 (1) | 11/18/2003 | P | 1,084,935 | (2) | (3) | Common Stock, $.01 par value per share | 2,169,870 | $ 0.0322 | 1,084,935 | I | By Corporation (4) | |||
Series E Convertible Preferred Stock | $ 0 | (2) | (3) | Common Stock, $.01 par value per share | 70,754 | 35,377 | I | By Spouse |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HOROWITZ COREY M C/O CMH CAPITAL MANAGEMENT CORP. 445 PARK AVENUE, SUITE 1028 NEW YORK, NY 10022 |
X | X |
/s/ Horowitz, Corey M. | 11/20/2003 | |
**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) | Under the terms of the Certificate of Designations, Preferences and Other Rights and Qualifications of Series E convertible Preferred Stock of the Issuer, each share of Series E Convertilbe Preferred Stock is convertible at any time into two (2) shares of Common Stock. |
(2) | The Series E Convertible Preferred Shares became convertible upon issuance. |
(3) | The Series E Convertible Preferred Shares do not have an expiration date. |
(4) | These securities are owned directly by CMH Capital Management Corp. ("CMH"), a corporation whose sole stockholder is Corey M. Horowitz. |
Remarks: |