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 | ||||
Series A Preferred Stock | 12/18/2014 | Â (1) | Common Stock | 100,000,000 (2) | $ 0 (3) | I | Kaufman & Associates Inc. |
Series B Preferred Stock | 12/18/2014 | Â (1) | Common Stock | 7,277,500 (2) | $ 0 (3) | I | Kaufman & Associates Inc. |
Series B Preferred Stock | 12/18/2014 | Â (1) | Common Stock | 1,000,000 (2) | $ 0 (3) | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KAUFMAN CRAIG 9858 GLADES RD BOCA RATON, FL 33434 |
 |  X |  |  |
/s/ Craig Kaufman | 12/18/2014 | |
**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) | There is no expiration date on when the Series A Preferred Stock and the Series B Preferred Stock may be exercised. |
(2) | Includes 2,000,000 shares of Series A Convertible Stock held by Kaufman & Associates Inc. that may be converted into 100,000,000 shares of common stock, 7,277,500 shares of Series B Preferred Stock held by Kaufman & Associates Inc. that may be converted into 7,277,500 shares of common stock and 1,000,000 shares of Series B Preferred Stock held by Craig Kaufman that may be converted into 1,000,000 shares of common stock. Craig Kaufman has sole beneficial ownership over Kaufman & Associates Inc. |
(3) | Each share of Series A Preferred Stock may be exchanged for 50 shares of Common Stock. Each share of Series B Preferred Stock may be exchanged for 1 share of Common Stock. |