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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT 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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Warrants | $ 1.46 | 09/12/2007 | Â | E(1) | Â | 254,330 | 10/01/2007(2) | 10/01/2012(2) | Common Stock | (3) | 305,330 | Â | ||
Warrants | $ 1.2 | 11/20/2007 | Â | A(3) | 254,330 | Â | 11/20/2007(4) | 11/20/2017(4) | Common Stock | (3) | 305,330 | Â | ||
Warrants | $ 2.5 | Â | Â | Â | Â | Â | 10/31/2004 | 01/31/2010 | Common Stock | Â | 305,330 | Â | ||
Warrants | $ 5.4 | Â | Â | Â | Â | Â | 11/10/2006 | 11/10/2011 | Common Stock | Â | 305,330 | Â | ||
Options | $ 1.5 | Â | Â | Â | Â | Â | 05/09/2000 | 05/09/2012 | Common Stock | Â | 10,000 | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Wade Gary L 4714 MERRIMONT AVENUE SPRINGFIELD, OH 45503 |
 X |  |  President, CEO |  |
Carol Groeber | 02/21/2008 | |
**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) | Merger discussions discontinued. |
(2) | The warrants will only become exercisable upon closing of the Merger of the Comapny and Family Home Health Services, Inc. and will terminate and expire unless exercised on or before the 5th anniversay of the closing. |
(3) | Warrants were awarded to officers and directors. |
(4) | These are 10 year warrants that will vest equally over a 5 year period, however that vesting will be accelerated in the event there is a "change in control" of the Company or a termination without cause of person(s) comprising the management team. |