|
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 |
|
| |||||||||||||||||||||||||||||
|
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) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Convertible Promissory Note | $ 2.5 (4) | 12/13/2005 | P | $ 350,000 | 12/13/2005 | 12/29/2006 | Common Stock | 140,000 (5) | (8) | $ 350,000 | I (2) | Through interest in JRPM | |||
Convertible Promissory Note | $ 1.5315 (9) | 12/13/2005 | P | $ 500,000 | 12/13/2005 | 12/29/2006 | Common Stock | 326,472 | (8) | $ 500,000 | I (2) | Through Interest in JRPM | |||
Option (right to buy) | $ 5 (6) | 12/13/2005 | P | 1 | 12/13/2005 | 12/31/2006 | Common Stock | 70,000 (7) | (8) | 1 | I (2) | Through Interest in JRPM |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MANN DAVID W 800 WASHINGTON AVENUE WACO, TX 76701 |
X | X | President |
David W. Mann | 12/15/2005 | |
**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) | First Financial Holdings, Ltd. ("FFHL"), a limited partnership of which the Reporting Person is a 0.5% general partner and a limited partner, received 421 shares of the Issuer's common stock from MCRLT Group, Ltd. ("MCRLT"), one of its limited partners, as an additional capital contribution for no increase in its limited partner percentage. The Reporting Person, who is also a general and limited partner of MCRLT, previously included these 421 shares of common stock in his Forms 4 as indirectly held through MCRLT. |
(2) | The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. |
(3) | The Reporting Person's indirect interest in these shares includes (i) a 30.7% direct limited partner interest in FFHL, (ii) a 68.02% interest in MCRLT, the other limited partner in FFHL holding a 68.3% limited partner interest in FFHL, (iii) a 0.5% general partner interest in FFHL, and (iv) an interest (through the David W. Mann 1990 Trust) in FFC Holdings, Inc., the other 0.5% general partner of FFHL. |
(4) | The price at which each share of common stock shall be delivered upon coversion of the note shall be the greater of $2.50 per share or the book value per share at the time of conversion, subject to customary anti-dilution provisions. |
(5) | Based on a conversion price of $2.50. |
(6) | The option is exercisable at the greater of $5.00 per share or the book value per share as of the date of exercise, subject to customary anti-dilution provisions. |
(7) | Based on an exercise price of $5.00. The Reporting Person has the right to acquire that number of shares equal to $350,000 divided by the greater of $5.00 or the book value per share at the time of exercise. |
(8) | On December 13, 2005, JRPM Investments, Ltd., of which the Reporting Person is a general partner and a limited partner, entered into that certain Note Purchase Agreement with the Issuer pursuant to which it purchased two convertible promissory notes from the Issuer for an aggregate $850,000, and received an option to acquire up to 70,000 shares of common stock as set forth herein. |
(9) | The price at which each share of common stock shall be delivered upon coversion of the note is equal to $500,000 divided by 326,472, or $1.5315249 per share, subject to customary anti-dilution provisions. |