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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT 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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Warrant (Right to Buy) | $ 0.5 | Â | Â | Â | Â | Â | 12/08/2003 | 12/08/2013 | Common Stock | Â | 1,210,320 | By Bayview Capital Partners LP (1) | ||
Series A Convertible Stock | $ 0.5 | Â | Â | Â | Â | Â | 12/08/2003 | Â (3) | Common Stock | Â | 1,000,000 (4) | By Bayview Capital Partners LP (1) | ||
Director Stock Option (Right to Buy) | $ 1.26 | Â | Â | Â | Â | Â | 05/19/2004 | 05/19/2010 | Common Stock | Â | 15,000 | By Bayview Capital Partners LP (1) | ||
Director Stock Option (Right to Buy) | $ 1.99 | Â | Â | Â | Â | Â | 12/08/2004 | 12/08/2014 | Common Stock | Â | 15,000 | By Bayview Capital Partners LP (1) | ||
Series A Convertible Stock | $ 0.5 | 12/31/2003 | Â | J4 (2) | 3,781 | Â | 12/31/2003 | Â (3) | Common Stock | $ 0 | 3,781 | By Bayview Capital Partners LP (1) | ||
Series A Convertible Stock | $ 0.5 | 03/31/2004 | Â | J4 (2) | 14,959 | Â | 03/31/2004 | Â (3) | Common Stock | $ 0 | 14,959 | By Bayview Captial Partners LP (1) | ||
Series A Convertible Stock | $ 0.5 | 06/30/2004 | Â | J4 (2) | 14,959 | Â | 06/30/2004 | Â (3) | Common Stock | $ 0 | 14,959 | By Bayview Capital Partners LP (1) | ||
Series A Convertible Stock | $ 0.5 | 09/30/2004 | Â | J4 (2) | 15,123 | Â | 09/30/2004 | Â (3) | Common Stock | $ 0 | 15,123 | By Bayview Capital Partners LP (1) | ||
Series A Convertible Stock | $ 0.5 | 12/31/2004 | Â | J4 (2) | 15,123 | Â | 12/31/2004 | Â (3) | Common Stock | $ 0 | 15,123 | By Bayview Capital Partners LP (1) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MUSECH CARY TONKA BAY EQUITY PARTNERS LLC 301 CARLSON PARKWAY, SUITE 325 MINNETONKA, MN 55305 |
 X |  X |  |  |
BAYVIEW CAPITAL PARTNERS LP TONKA BAY EQUITY PARTNERS LLC 301 CARLSON PARKWAY, SUITE 325 MINNETONKA, MN 55305 |
 |  X |  |  |
Cary Musech | 04/20/2005 | |
**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) | Mr. Musech is the Managing Director of Bayview Capital Management LLC, the General Partner of Bayview Capital Partners LP. The reportign person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose. |
(2) | The Series A Convertible Preferred Stock issued on December 8, 2003 to Bayview at a price of $1.00 per share has a stated dividend rate of 6% per year, computed on a simple interest basis, paid in the form of additional shares of Series A Convertible Preferred Stock. Each share of Series A Convertible Preferred Stock may be converted at any time into two shares of common stock. |
(3) | Series A Convertible Preferred Stock does not have an expiration date. |
(4) | The number of shares of Series A Convertible Preferred Stock has been corrected; initially reported incorrectly on reporting person's Form 3. |