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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 | ||||||||
Series A Preferred Stock | $ 3.51 | 12/22/2014 | M | 558,641 | (1) | (1) | Common Stock (1) | 1,591,569 (1) | $ 0 | 0 | D | ||||
Series B Preferred Stock | $ 2.83 | 12/22/2014 | M | 225,892 | (1) | (1) | Common Stock (1) | 798,205 (1) | $ 0 | 0 | D | ||||
2014 Subordinated Secured Convertible Pay-In-Kind Note | $ 4.91 | 12/22/2014 | M | $ 786,215.75 (2) | (2) | (2) | Common Stock (2) | 160,125 (2) | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KIPHART RICHARD P C/O WILLIAM BLAIR &COMPANY, LLC 222 WEST ADAMS STREET CHICAGO, IL 60606 |
X | X |
Mary Colleen Brennan | 01/06/2015 | |
**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) | Pursuant to the terms of the C0mpany's certificates of designation, the reporting person converted 558,641 shares of the Company's Series A Preferred Stock into 1,591,569 shares of the Company's Common Stock and 225,892 shares of the Company's Series B Preferred Stock into 798,205 shares of the Company's Common Stock. |
(2) | Pursuant to the terms of the 2014 Subordinated Secured Convertible Pay-In-Kind Note, the reporting person converted the amount of $786,215.75 due under the note into 160,125 shares of the Company's Common Stock. |