FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL 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). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
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Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ENER1 INC [ HEV ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2008 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) 01/28/2008 |
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 at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock | 01/04/2002 | C4(1) | 18,917,594 | A | $0.02 | 47,126,416 | D | ||||||||
Common Stock | 09/06/2002 | J4(2) | 50,000,000 | A | (2) | 97,126,416 | D | ||||||||
Common Stock | 09/06/2002 | C4 | 196,500,000 | A | (3) | 293,626,416 | D | ||||||||
Common Stock | 09/06/2002 | C4 | 4,000,000 | A | (3) | 297,626,416 | D | ||||||||
Common Stock | 10/04/2002 | J4(4) | 1,400,000 | D | (4) | 296,226,416 | D | ||||||||
Common Stock | 11/23/2002 | J4(5) | 1,400,000 | D | (5) | 294,826,416 | D | ||||||||
Common Stock | 12/31/2002 | J4(6) | 200,000 | D | (6) | 294,626,416 | D | ||||||||
Common Stock | 09/15/2003 | J4(7) | 4,000,000 | D | (7) | 290,626,416 | D | ||||||||
Common Stock | 10/04/2003 | J4(8) | 36,364 | A | (8) | 290,662,780 | D | ||||||||
Common Stock | 11/14/2003 | J(9) | 14,829,288 | A | (9) | 305,492,068 | D | ||||||||
Common Stock | 11/17/2003 | P4 | 1,388,889 | A | $0.72 | 306,880,957 | D | ||||||||
Common Stock | 11/23/2003 | J(10) | 377,273 | A | (10) | 307,258,230 | D | ||||||||
Common Stock | 05/20/2004 | J4(11) | 100,000 | D | (11) | 307,158,230 | D | ||||||||
Common Stock | 12/31/2004 | J(12) | 50,000 | D | (12) | 307,108,230 | D | ||||||||
Common Stock | 01/27/2006 | X4 | 2,625,000 | A | $0.08 | 309,733,230 | D | ||||||||
Common Stock | 02/08/2006 | X4 | 31,875,000 | A | $0.08 | 341,608,230 | D | ||||||||
Common Stock | 03/30/2006 | X4 | 10,000,000 | A | $0.08 | 351,608,230 | D | ||||||||
Common Stock | 04/20/2006 | X4 | 1,250,000 | A | $0.08 | 352,858,230 | D | ||||||||
Common Stock | 04/26/2006 | X4 | 1,000,000 | A | $0.08 | 353,858,230 | D | ||||||||
Common Stock | 05/01/2006 | X4 | 4,437,500 | A | $0.08 | 358,295,730 | D | ||||||||
Common Stock | 05/12/2006 | X4 | 625,000 | A | $0.08 | 358,920,730 | D | ||||||||
Common Stock | 05/15/2006 | X4 | 250,000 | A | $0.08 | 359,170,730 | D | ||||||||
Common Stock | 05/17/2006 | X4 | 112,500 | A | $0.08 | 359,283,230 | D | ||||||||
Common Stock | 05/18/2006 | X4 | 2,500,000 | A | $0.08 | 361,783,230 | D | ||||||||
Common Stock | 05/22/2006 | X4 | 2,187,500 | A | $0.08 | 363,970,730 | D | ||||||||
Common Stock | 05/23/2006 | X4 | 1,687,500 | A | $0.08 | 365,658,230 | D | ||||||||
Common Stock | 05/26/2006 | X4 | 2,875,000 | A | $0.08 | 368,533,230 | D | ||||||||
Common Stock | 06/09/2006 | X4 | 4,625,000 | A | $0.08 | 373,158,230 | D | ||||||||
Common Stock | 06/16/2006 | X4 | 250,000 | A | $0.08 | 373,408,230 | D | ||||||||
Common Stock | 06/23/2006 | X4 | 1,187,500 | A | $0.08 | 374,595,730 | 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) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. Conversion of Subordinated Convertible Promissory Notes previously reported on the Reporting Person's Initial Statement of Beneficial Ownership. |
2. 50,000,000 shares of Common Stock, 3,930,000 shares of Series A Convertible Preferred Stock, Warrants for 48,402,905 shares of Common Stock, and a Convertible Promissory Note in the principal amount of $1,161,850 were issued to the Reporting Person in consideration for 100% of the capital stock of a wholly owned subsidiary of the Reporting Person valued at approximately $13,816,631. The per share value ascribed to the Common Stock was $0.06. |
3. These shares were received upon conversion of shares of Series A Convertible Preferred Stock, which were convertible at 50 shares of Common Stock per one share of Series A Convertible Preferred Stock. The per share value ascribed to the Common Stock in the transaction in which 196,500,000 shares were acquired was $0.06. The per share value ascribed to the Common Stock in the transaction in which 4,000,000 shares were acquired was $0.50. |
4. These shares were disposed for shares of another entity valued at approximately $28,000. The per share value ascribed to the Common Stock was $0.02. |
5. These shares were disposed for shares of another entity valued at approximately $28,000. The per share value ascribed to the Common Stock was $0.02. |
6. These shares were disposed for shares of another entity valued at approximately $4,000. The per share value ascribed to the Common Stock was $0.02. |
7. These shares were disposed to a vendor in exchange for services performed for the benefit of the Issuer valued at approximately $80,000. The per share value ascribed to the Common Stock was $0.02. |
8. These shares were returned by a third party to the Reporting Person due to a reduction in the purchase price previously paid by the Reporting Person to such third party. |
9. 14,829,288 shares of Common Stock, Warrants for 8,053,530 shares of Common Stock having a strike price of $1.50, and Warrants for 8,053,530 shares of Common Stock having a strike price of $2.00 were issued to the Reporting Person in consideration for the cancellation of approximately $11.6 million of indebtedness owed by the Issuer and its subsidiaries to the Reporting Person. The per share value ascribed to the Common Stock was $0.78. Pursuant to Section 16(b) of the Securities Exchange Act of 1934, securities acquired in connection with a debt previously contracted are exempt from Section 16(b). |
10. These shares were returned by a third party to the Reporting Person due to a reduction in the purchase price previously paid by the Reporting Person to such third party. |
11. These shares were disposed to a vendor in exchange for services performed for the benefit of the Issuer valued at approximately $2,000. The per share value ascribed to the Common Stock was $0.02. |
12. Adjustment to reconcile to stock register records. No consideration was received by the Reporting Person. |
ENER1 GROUP, INC. /s/ Charles Gassenheimer, Chief Executive Officer | 01/09/2009 | |
** 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. |