0001510340-11-000024.txt : 20110516 0001510340-11-000024.hdr.sgml : 20110516 20110516195806 ACCESSION NUMBER: 0001510340-11-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110513 FILED AS OF DATE: 20110516 DATE AS OF CHANGE: 20110516 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Provenzano Gregory CENTRAL INDEX KEY: 0001458593 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28063 FILM NUMBER: 11849500 MAIL ADDRESS: STREET 1: 349-L COPPERFIELD BOULEVARD, #407 CITY: CONCORD STATE: NC ZIP: 28025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DELTATHREE INC CENTRAL INDEX KEY: 0001086740 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] IRS NUMBER: 134006766 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 419 LAFAYETTE STREET STREET 2: 2ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10003 BUSINESS PHONE: 2125004850 MAIL ADDRESS: STREET 1: 419 LAFAYETTE STREET STREET 2: 2ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10003 FORMER COMPANY: FORMER CONFORMED NAME: DELTATHREE COM INC DATE OF NAME CHANGE: 19990519 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2011-05-13 0 0001086740 DELTATHREE INC DDDC.PK 0001458593 Provenzano Gregory 349-L COPPERFIELD BOULEVARD, #407 CONCORD NC 28025 0 0 1 0 12% Convertible Note due March 4, 2014 0.08 2011-05-13 4 A 0 200000 0 A 2011-05-13 2014-03-04 Common Stock, $0.001 par value 2500000 1000000 I By D4 Holdings, LLC Consists of a $200,000 advance under a Convertible Note pursuant to which D4 Holdings, LLC ("D4 Holdings") has the right to convert all or any portion of the outstanding principal amount under the Convertible Note at a conversion price of $0.08 per share. The Convertible Note was issued pursuant to a Loan Agreement dated March 2, 2011 under which D4 Holdings agreed to loan up to $1,600,000 in aggregate principal amount. As of May 13, 2011, the Issuer had received total advances of $1,000,000 in outstanding principal under the Loan Agreement. The reported securities are held directly by D4 Holdings, LLC. The reporting person is a member of Manna Holdings, LLC, which is the sole member of D4 Holdings. As such, the reporting person may be deemed to beneficially own the securities reported herein and owned directly by D4 Holdings. The reporting person disclaims beneficial ownership of such securities, and this report shall not be deemed an admission that such reporting person is the beneficial owner of the securities for the purpose of Section 16 or for any other purpose, except to the extent of such reporting person's pecuniary interest therein. /s/ Gregory Provenzano, by Colleen Jones, attorney-in-fact 2011-05-16