-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, D8T/Duqq4pAudCY0TN90jGkPMbaUhN2kECLsK1q9AcQWZJFhKZsndMk/ukiy9umy a3vEshyIpDv3ZIt+gmFjHw== 0001079973-10-000032.txt : 20100119 0001079973-10-000032.hdr.sgml : 20100118 20100119112042 ACCESSION NUMBER: 0001079973-10-000032 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20100119 DATE AS OF CHANGE: 20100119 GROUP MEMBERS: BRIAN PEIERLS GROUP MEMBERS: E. JEFFREY PEIERLS SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PepperBall Technologies, Inc. CENTRAL INDEX KEY: 0001216199 STANDARD INDUSTRIAL CLASSIFICATION: ORDNANCE & ACCESSORIES, (NO VEHICLES/GUIDED MISSILES) [3480] IRS NUMBER: 201978398 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-82087 FILM NUMBER: 10532398 BUSINESS ADDRESS: STREET 1: 6142 NANCY RIDGE DRIVE STREET 2: SUITE 101 CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 858-638-0236 MAIL ADDRESS: STREET 1: 6142 NANCY RIDGE DRIVE STREET 2: SUITE 101 CITY: SAN DIEGO STATE: CA ZIP: 92121 FORMER COMPANY: FORMER CONFORMED NAME: Security With Advanced Technology, Inc. DATE OF NAME CHANGE: 20061010 FORMER COMPANY: FORMER CONFORMED NAME: A4S SECURITY, INC. DATE OF NAME CHANGE: 20050602 FORMER COMPANY: FORMER CONFORMED NAME: A4S TECHNOLOGIES INC DATE OF NAME CHANGE: 20030128 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Peierls Foundation, Inc. CENTRAL INDEX KEY: 0001327191 IRS NUMBER: 136082503 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: C/O US TRUST COMPANY OF NY STREET 2: 114 WEST 47TH STREET CITY: NEW YORK STATE: NY ZIP: 10036 BUSINESS PHONE: 303-278-2889 MAIL ADDRESS: STREET 1: C/O US TRUST COMPANY OF NY STREET 2: 114 WEST 47TH STREET CITY: NEW YORK STATE: NY ZIP: 10036 SC 13G 1 pball_peierls13g.htm SCHEDULE 13G pball_peierls13g.htm
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
 
Washington, D.C. 20549
 
Schedule 13G
 
Under the Securities Exchange Act of 1934
 
PepperBall Technologies, Inc.
(Name of Issuer)
 
Common Stock, no par value
(Title of Class of Securities)
 
815175104
(CUSIP Number)
 
December 31, 2008
(Date of Event which Requires Filing of this Statement)
 
 
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
 
 
¨
Rule 13d-1(b)
 
 
ý
Rule 13d-1(c)
 
 
¨
Rule 13d-1(d)
 
*The remainder of this cover page shall be filled out for the Reporting Person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
 
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 
 
 
 

 

CUSIP No. 815175104
 
 
(1)
Name of Reporting Person and I.R.S. Identification No. of Such Person (entities only)1
 
 
The Peierls Foundation, Inc.
Taxpayer I.D. No. 13-6082503

(2)
Check the Appropriate Box if a Member of a Group (See Instructions)
 
 
(a)
 
(b)           X
 
(3)
SEC Use Only ___________________________________________________________
 
(4)
Citizenship or Place of Organization
 
 
New York, USA
 
Number of Shares Beneficially Owned by Each Reporting
Person with:
(5)  Sole Voting Power: 
(6)  Shared Voting Power:        
(7)  Sole Dispositive Power:
(8)  Shared Dispositive Power:      
692,349 2
0
692,349 2
0
 
 
(9)
Aggregate Amount Beneficially Owned by Each Reporting Person:  692,349
 
(10)
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) _______
 
(11)
Percent of Class Represented by Amount in Row (9):  5.22%
 
(12)
Type of Reporting Person (See Instructions):
 
 
CO
 

 
1 Joint filing pursuant to Rule 13d-1(k)(1).  This Schedule 13G is filed by the Peierls Foundation, Inc. (the “Foundation”).  This Schedule 13G is also being filed on behalf of E. Jeffrey Peierls, the President and a Director of the Foundation, and Brian E. Peierls, the Vice President and a Director of the Foundation.  E. Jeffrey Peierls and Brian E. Peierls may be deemed to share indirect ownership of securities held by the Foundation, as well as securities held by a trust of which E. Jeffrey Peierls and Brian E. Peierls are co-trustees.
 
2 Consists of 369,377 shares of common stock and 322,972 shares of common stock which may be acquired upon conversion of shares of convertible preferred stock held by the Foundation.

 
 

CUSIP No. 815175104
 
(1)
Name of Reporting Person and I.R.S. Identification No. of Such Person (entities only)1
 
 
E. Jeffrey Peierls
 
(2)
Check the Appropriate Box if a Member of a Group (See Instructions)
 
 
(a)
 
(b)           X
 
(3)
SEC Use Only ___________________________________________________________
 
(4) 
Citizenship or Place of Organization
 
 
USA
 
Number of Shares Beneficially Owned by Each Reporting
Person with:
(5)  Sole Voting Power: 
(6)  Shared Voting Power:        
(7)  Sole Dispositive Power:
(8)  Shared Dispositive Power:      
270,561 3
799,572 4
270,561 3
799,572 4
 
 
(9) 
Aggregate Amount Beneficially Owned by Each Reporting Person:  1,070,132
 
(10)
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) _______
 
(11) 
Percent of Class Represented by Amount in Row (9):  7.96%
 
(12) 
Type of Reporting Person (See Instructions):
 
4 Consists of 63,269 shares of common stock and 43,954 shares of common stock which may be acquired upon conversion of shares of convertible preferred stock held by a trust of which E. Jeffrey Peierls is a co-trustee, and 369,377 shares of common stock and 322,972 shares of common stock which may be acquired upon conversion of shares of convertible preferred stock held by the Foundation.

 
 

 

 
(1)
Name of Reporting Person and I.R.S. Identification No. of Such Person (entities only)1
 
 
Brian E. Peierls
 
(2)
Check the Appropriate Box if a Member of a Group (See Instructions)
 
 
(a)
 
(b)           X
 
(3)
SEC Use Only ___________________________________________________________
 
(4)
Citizenship or Place of Organization
 
 
USA
 
Number of Shares Beneficially Owned by Each Reporting
Person with:
(5)  Sole Voting Power: 
(6)  Shared Voting Power:        
(7)  Sole Dispositive Power:
(8)  Shared Dispositive Power:      
154,796 5
799,572 6
154,796 5
799,572 6
 
 
(9) 
Aggregate Amount Beneficially Owned by Each Reporting Person:  954,368
 
(10)
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) _______
 
(11) 
Percent of Class Represented by Amount in Row (9):  7.14%
 
(12) 
Type of Reporting Person (See Instructions):
 
6 Consists of 63,269 shares of common stock and 43,954 shares of common stock which may be acquired upon conversion of shares of convertible preferred stock held by a trust of which Brian E. Peierls is a co-trustee, and 369,377 shares of common stock and 322,972 shares of common stock which may be acquired upon conversion of shares of convertible preferred stock held by the Foundation.

 

 

Item 1.  Name and Address of Issuer.
 
(a),(b)     Name and address of principal executive offices of Issuer:
 
PepperBall Technologies, Inc.
6142 Nancy Ridge Drive
Suite 101
San Diego, CA  92121
Item 2.
 
The Peierls Foundation, Inc.
 
(a)    
Name of person filing:
 
The Peierls Foundation, Inc.
 
(b)    
Residence or Business Address:
 
c/o U.S. Trust Company of N.Y.
114 West 47th Street
New York, NY  10036
 
(c)    
Citizenship:

New York, USA entity
 
(d)     
Title and Class of Securities:
 
Common Stock, $.001 par value
 
(e)     
CUSIP Number:
 
           815175104

E. Jeffrey Peierls
 
(a)    
Name of person filing:
 
E. Jeffrey Peierls
 
(b)    
Residence or Business Address:
 
73 S. Holman Way
Golden, CO 80401
 
(c)    
Citizenship:
 
USA
 
(d)     
Title and Class of Securities:
 
Common Stock, $.001 par value
 
(e)     
CUSIP Number:
     
                                815715104
 
 
 

Brian E. Peierls
 
(a)    
Name of person filing:
 
Brian E. Peierls
 
(b)    
Residence or Business Address:
 
7808 Harvestman Cove
Austin, TX  78731
 
(c)    
Citizenship:
 
USA
 
(d)     
Title and Class of Securities:
 
Common Stock, $.001 par value
 
(e)     
CUSIP Number:
     
                                815175104
Item 3.
 
 
N/A
 
Item 4.  Ownership.
 
 
(a)
Amount beneficially owned:   See Item 9 of Cover Pages.
 
 
(b)
Percent of class:  See Item 11 of Cover Pages.
 
 
(c)
Number of shares as to which the person has:
 
 
(i)
Sole power to vote or to direct the vote:  See Item 5 of Cover Pages
 
 
(ii)
Shared power to vote or to direct the vote:  See Item 6 of Cover Pages
 
 
(iii)
Sole power to dispose or to direct the disposition of:  See Item 7 of Cover Pages
 
 
(iv)
Shared power to dispose or to direct the disposition of:  See Item 8 of Cover Pages
 
Item 5-9.  Ownership of Five Percent or Less of a Class
 
N/A
 
Item 10.  Certification
 
The following certification shall be included if the statement is filed pursuant to §240.13d-1(c):
 
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
 
 
 
 
 
 
 

SIGNATURE
 
After reasonable inquiry and to the best of the Reporting Person’s knowledge and belief, the Reporting Person certifies that the information set forth in this statement is true, complete and correct.
 

Date:  January 15, 2010
The Peierls Foundation, Inc.
 
By:    /s/  E. Jeffrey Peierls                                                                            
E. Jeffrey Peierls, President

/s/  E. Jeffrey Peierls                                                                           
E. Jeffrey Peierls, Individually

/s/ Brian Peierls                                                                           
Brian E. Peierls, Individually
 

 
 
 
 
 
 
 
 
 
 

 

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