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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 | ||||||||
Common Stock Warrant | $ 0.01 | 11/13/2007 | P | 500,000 | 12/04/2007 | 11/16/2014 | Common Stock | 500,000 | $ 0.01 | 500,000 | I | By BlueLine Capital Partners, LP (2) | |||
Series C 6% Convertible Promissory Note | $ 1 | 11/13/2007 | P | $ 500,000 | 12/04/2007 | 05/29/2009 | Common Stock | 500,000 | $ 1 | $ 500,000 | I | By BlueLine Capital Partners, LP (2) | |||
Common Stock Warrant | $ 0.01 | 11/13/2007 | P | 250,000 | 12/04/2007 | 11/16/2014 | Common Stock | 250,000 | $ 0.01 | 250,000 | I | By BlueLine Capital Partners II, LP (3) | |||
Series C 6% Convertible Promissory Note | $ 1 | 11/13/2007 | P | $ 250,000 | 12/04/2007 | 05/29/2009 | Common Stock | 250,000 | $ 1 | $ 250,000 | I | By BlueLine Capital Partners II, LP (3) | |||
Common Stock Warrant | $ 0.01 | 11/13/2007 | P | 500,000 | 12/04/2007 | 11/16/2014 | Common Stock | 500,000 | $ 0.01 | 500,000 | I | By BlueLine Capital Partners III, LP (4) | |||
Series C 6% Convertible Promissory Note | $ 1 | 11/13/2007 | P | $ 500,000 | 12/04/2007 | 05/29/2009 | Common Stock | 500,000 | $ 1 | $ 500,000 | I | By BlueLine Capital Partners III, LP (4) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Bacci Timothy P 402 RAILROAD AVENUE SUITE 201 DANVILLE, CA 94526 |
X | X | See remarks | |
BlueLine Partners, L.L.C. 402 RAILROAD AVENUE SUITE 201 DANVILLE, CA 94526 |
X | See remarks | ||
BlueLine Capital Partners, L.P. 402 RAILROAD AVENUE SUITE 201 DANVILLE, CA 94526 |
X | See remarks | ||
BlueLine Partners II, LLC 402 RAILROAD AVENUE SUITE 201 DANVILLE, CA 94526 |
X | See remarks | ||
BlueLine Capital Partners III, LP 402 RAILROAD AVENUE SUITE 201 DANVILLE, CA 94526 |
X | See remarks |
/s/ Scott A. Shuda, By Power of Attorney for all Reporting Persons | 11/15/2007 | |
**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) | These securities are held by a "group" consisting of Timothy Bacci, a managing director of BlueLine Partners, L.L.C., BlueLine Capital Partners, L.P., BlueLine Capital Partners II, L.P., BlueLine Capital Partners III, L.P., BlueLine Partners, L.L.C., the sole general partner of BlueLine Capital Partners, L.P. and BlueLine Capital Partners II, L.P. and BlueLine Partners II, LLC, the sole general partner of BlueLine Capital Partners III, LP. Of the 2,233,025 shares of outstanding common stock owned by the reporting entities, 1,899,815 shares of common stock are owned by BlueLine Capital Partners, L.P., 150,350 shares of common stock are owned by BlueLine Capital Partners II, L.P., 142,860 shares of common stock are owned by BlueLine Capital Partners III, L.P., and 40,000 shares of restricted stock are owned by Timothy Bacci. |
(2) | Timothy Bacci is the managing director of BlueLine Partners, L.L.C., the sole general partner of BlueLine Capital Partners, L.P. |
(3) | Timothy Bacci is the managing director of BlueLine Partners, L.L.C., the sole general partner of BlueLine Capital Partners II, LP. |
(4) | Timothy Bacci is the managing director of BlueLine Partners II, LLC., the sole general partner of BlueLine Capital Partners III, LP. |
Remarks: The filing of this statement shall not be deemed an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, any Reporting Person is the beneficial owner of any Common Stock covered by this statement. As described in Amendment No. 3 to Schedule 13D ("Amendment No. 3") filed on June 8, 2007 with respect to the Common Stock owned by BlueLine Capital Partners, L.P., BlueLine Capital Partners II, L.P., BlueLine Partners, L.L.C. and Mr. Bacci as of the date of Amendment No. 3, the Reporting Entities may have been deemed to be a "group" under Section 13(d) of the Securities Exchange Act and accordingly each Reporting Person may have been deemed to have beneficial ownership of 10% or more of the Common Stock. Reporting Owner Name/Address BlueLine Partners, L.L.C., 402 Railroad Avenue, Suite 201, Danville, CA 94526 BlueLine Partners II, LLC, 402 Railroad Avenue, Suite 201, Danville, CA 94526 BlueLine Capital Partners, L.P., 402 Railroad Avenue, Suite 201, Danville, CA 94526 BlueLine Capital Partners II, L.P., 402 Railroad Avenue, Suite 201, Danville, CA 94526 BlueLine Capital Partners III, L.P., 402 Railroad Avenue, Suite 201, Danville, CA 94526 Timothy Bacci, 402 Railroad Avenue, Suite 201, Danville, CA 94526 |