FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
AXTIVE CORP [ AXTC ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 02/26/2004 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock, $0.01 par value | 02/26/2004 | C | 1,272,000(1) | A | $0.0769(2) | 1,272,000 | D | |||
Common Stock, $0.01 par value | 02/26/2004 | J | 1,272,000(3) | D | $0.0769(4) | 0 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Convertible Preferred Stock, $0.01 par value | $1 | 02/26/2004 | 02/26/2004 | C | 1,200 | 05/23/2003 | (5) | Common Stock, $0.01 par value | 1,272,000(6) | $1,000 | 0 | D | |||
Warrant to Purchase Common Stock | $2 | 02/26/2004 | 02/26/2004 | J | 240,000 | 05/23/2005 | 05/23/2007 | Common Stock, $0.01 par value | 240,000(7) | $0 | 0 | D |
Explanation of Responses: |
1. The Reporting Person directly owned 1,200 shares of Preferred Stock, which were automatically converted into 1,272,000 shares of common stock. |
2. The exact price of the securities was $0.07687 per share. |
3. The Reporting Person transferred 1,272,000 shares of common stock to B/K Venture Capital, LLP. The Reporting Person does not currently hold any capital stock of Axtive Corporation. |
4. The exact price of the securities was $0.07687 per share. |
5. There was no expiration date for the conversion of the Preferred Stock. |
6. Conversion was determined by dividing the liquidation price with respect to the preferred stock (which is equal to the issuance price of $1,000 per share plus any accrued, but unpaid dividends) by the conversion price. The conversion reflects accrued, but unpaid dividends of $60.00 per share with respect to the preferred stock. Upon conversion, the 1,272,000 shares of common stock were transferred to B/K Venture Capital, LLP. |
7. The warrants, which were issued in connection with the purchase of Preferred Stock, were waived and terminated by the Reporting Person, effective as of February 26, 2004, in connection with the automatic conversion of the Preferred Stock and the issuer's private placement of Common Stock on February 26, 2004. |
/s/ Ron Beneke | 03/01/2004 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |