UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
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) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series B Preferred Stock (convertible) | Â (1) | Â (1) | Common Stock | 14,003 | $ (1) | D | Â |
Series B Preferred Stock (convertible) | Â (1) | Â (1) | Common Stock | 79,331 | $ (1) | I | Held by Spouse, Timothy J. Connolly |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CONNOLLY JAN CARSON 109 N. POST OAK LANE SUITE 422 HOUSTON, TX 77024 |
 |  X |  |  |
/s/ Jan Carson Connolly | 10/07/2005 | |
**Signature of Reporting Person | Date |
* | 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) | Pursuant to that certain Merger Agreement dated August 31, 2005 and set forth in Issuer's Current Report on Form 8-K as filed with the U.S. Securities and Exchange Commission on September 8, 2005 as Exhibit 99.1, Jan Carson Connolly's 14,003 shares and Timothy J. Connolly's 79,331 shares of Series B Preferred Stock will be converted into shares of Common Stock as is more fully explained and under the conditions set forth in the Merger Agreement. |