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 |
12% SERIES A CONVERTIBLE PROMISSORY NOTE
|
03/27/2014 |
03/31/2015 |
COMMON STOCK
|
1,214
|
$
1.75
|
I
|
SEE FOOTNOTE
(3)
|
12% SERIES A CONVERTIBLE PROMISSORY NOTE
|
03/27/2014 |
03/31/2015 |
COMMON STOCK
|
33,300
|
$
1.75
|
I
|
SEE FOOTNOTE
(4)
|
SERIES A WARRANTS
|
09/27/2013 |
03/31/2018 |
COMMON STOCK
|
243
|
$
2
|
I
|
SEE FOOTNOTE
(5)
|
SERIES A WARRANTS
|
09/27/2013 |
03/31/2018 |
COMMON STOCK
|
6,660
|
$
2
|
I
|
SEE FOOTNOTE
(6)
|
* |
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) |
Mr. Barney holds a 1.7% pecuniary interest in 50,000 shares of common stock held by an investment club of which he is a member. |
(2) |
Mr. Barney holds a 33.3% pecuniary interest in 50,000 shares of common stock held by an entity that is wholly-owned by the Barney 2012 Children's Trust of which he is a beneficiary. |
(3) |
Mr. Barney holds a 1.7% pecuniary interest in a 12% Series A Convertible Promissory Note held by an investment club of which he is a member. The promissory note has a principal amount of $125,000 and is convertible into 71,429 shares of common stock. |
(4) |
Mr. Barney holds a 33.3% pecuniary interest in a 12% Series A Convertible Promissory Note held by an entity that is wholly-owned by the Barney 2012 Children's Trust of which he is a beneficiary. The promissory note has a principal amount of $175,000 and is convertible into 100,000 shares of common stock. |
(5) |
Mr. Barney holds a 1.7% pecuniary interest in a Series A Warrant held by an investment club of which he is a member. The warrant is exercisable into 14,286 shares of common stock. |
(6) |
Mr. Barney holds a 33.3% pecuniary interest in a Series A Warrant held by an entity that is wholly-owned by the Barney 2012 Children's Trust of which he is a beneficiary. The warrant is exercisable into 20,000 shares of common stock. |