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 |
Employee Stock Option to Purchase Common Stock
|
Â
(2)
|
04/22/2012 |
Common Stock, $0.01 par value
|
10,000
(3)
|
$
(4)
(5)
|
D
|
Â
|
* |
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) |
The Company effected a one-for-five reverse split of its Common Stock on October 4, 2004. Following the reverse stock split, the Reporting Person is the beneficial owner of 3,200 shares of the Company's Common Stock. |
(2) |
One-quarter of the options vested on April 22, 2003, and one-quarter of the options vested on April 22, 2004. Beginning on April 22, 2004, the remaining one-half of the options vest in eight equal quarterly installments (the first of which vested on July 22, 2004), such that all of the options will be fully vested on April 22, 2006. |
(3) |
Following the reverse stock split, the options can be exercised for 2,000 shares of Common Stock. |
(4) |
On the date of the event requiring this statement, 3000 of the options had an exercise price of $3.00 per share, 3000 of the options had an exercise price of $4.00 per share, and 4000 of the options had an exercise price of $8.00 per share. |
(5) |
Following the reverse stock split, 600 of the options have an exercise price of $15.00 per share, 600 of the options have an exercise price of $25.00 per share, and 800 of the options have an exercise price of $40.00 per share. |