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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 | ||||||||
See Footnote (1) | $ 0.0028 | 08/09/2007 | J(2) | $ 280,000 | (3) | 06/19/2010 | Common Stock | (4) | $ 280,000 | $ 1,200,000 | I | See Footnote (5) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SILVER JACK C/O SIAR CAPITAL LLC 660 MADISON AVENUE NEW YORK, NY 10021 |
X | Mbr 13(d) grp owning + 10% |
/s/ Jack Silver | 08/10/2007 | |
**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) | Secured Convertible Promissory Note due June 19, 2010 (the "Note"). |
(2) | On August 9, 2007, Hilltop Holding Company, LP advanced to Kronos Advanced Technologies Inc. $280,000.00 in accordance with the terms of the Note. As of the date hereof, the outstanding principal balance of the Note is $1,200,000. The holder has the right to advance an additional $5.28million under the terms of the Note. |
(3) | Immediately. |
(4) | 100,000,000, assuming the advance of $280,000 under the Note is converted at a Conversion Price of $0.0028. The number of shares of Common Stock the Note is convertible into is determined by dividing (x) that portion of the outstanding principal balance under the Note being converted as of the date of conversion by (y) the then applicable Conversion Price. The current outstanding principal balance of $1,200,000 is convertible into 428,571,428 shares of Common Stock. In the event the Note is funded in full, the holder will have the right to convert the Note into 1,885,714,285 additional shares of Common Stock. |
(5) | By Hilltop Holding Company, LP, a limited partnership of which Jack Silver is the general partner. |