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) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series A Convertible Preferred Stock
|
03/08/2006 |
Â
(1)
|
Common Stock
|
129,515
|
$
(2)
|
I
(3)
|
See Footnote 3
|
12% Convertible Notes due 2009
|
03/08/2006 |
09/30/2009 |
Common Stock
|
10,290
|
$
0.01
(4)
|
I
(5)
|
See Footnote 5
|
* |
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) |
These securities are preferred stock of the Issuer and do not have an expiration date. |
(2) |
The shares of Series A Convertible Preferred Stock will convert at a rate of 1-to-2,500 into the number of shares of Common Stock shown in column 3 above. |
(3) |
The reporting person may be deemed to have an indirect pecuniary interest as a member of TA Investors LLC in 129,515 shares of Common Stock. The reporting person disclaims beneficial ownership of such securities, except to the extent of 29,574 shares of Common Stock as to which he holds a pecuniary interest. |
(4) |
The 12% Convertible Notes due 2009 are immediately convertible into 12% Notes due 2009 and warrants to purchase Common Stock, which warrants are immediately exercisable for 10,290 shares of Common Stock. |
(5) |
The reporting person may be deemed to have an indirect pecuniary interest as a member of TA Investors LLC in 10,290 shares of Common Stock into which the 12% Convertible Notes due 2009 are convertible. The reporting person disclaims beneficial ownership of such securities, except to the extent of 2,351 shares of Common Stock as to which he holds a pecuniary interest. |