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
Boomerang Systems, Inc. [ BMER.PK ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 10/01/2010 | ||||||||||||||||||||||||||
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 | 10/01/2010 | A | 1,000,000(1) | A | $0.25 | 5,800,000(2) | 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 | ||||||||
Warrant (right to buy) | $0.25 | 10/01/2010 | A | 5,400,000(2) | 10/01/2010 | 10/01/2015 | Common Stock | 5,400,000 | $0 | 5,400,000 | D | ||||
Warrant (right to buy) | $0.25 | 10/01/2010 | A | 4,200,000(2) | 02/01/2011 | 02/01/2016 | Common Stock | 4,200,000 | $0 | 4,200,000 | D | ||||
Warrant (right to buy) | $0.25 | 10/01/2010 | A | 4,200,000(2) | 08/01/2011 | 08/01/2016 | Common Stock | 4,200,000 | $0 | 4,200,000 | D | ||||
Warrant (right to buy) | $0.25 | 10/01/2010 | A | 4,200,000(2) | 02/01/2012 | 02/01/2017 | Common Stock | 4,200,000 | $0 | 4,200,000 | D | ||||
Warrant (right to buy) | $0.25 | 10/01/2010 | A | 3,600,000(2) | 08/01/2012 | 08/01/2017 | Common Stock | 3,600,000 | $0 | 3,600,000 | D | ||||
Warrant (right to buy) | $0.25 | 10/01/2010 | A | 2,800,000(3) | 10/01/2010 | 06/01/2015 | Common Stock | 2,800,000 | $0 | 2,800,000 | D |
Explanation of Responses: |
1. These shares were purchased from the Issuer by the Reporting person in accordance with his Employment Agreement. |
2. In connection with the execution of the Reporting Person's Amended and Restated Employment Agreement, that Amends and Restates the Reporting person's August 2010 employment agreement (the "August Agreement") with the Issuer, the parties agreed that (i) the 1,800,000 shares previously reported in Table I and the 900,000 Warrants previously reported in Table II of the Reporting Person's 8/24/10 Form 4 in connection with the August Agreement not be issued; (ii) the 5.4 million shares and 2.7 million warrants previously reported in a footnote to the Reporting Person's 8/24/10 Form 4 in connection with the August Agreement not be issued; and (iii) in place of those securities the warrants reported herein in the first five lines of Table II be issued. |
3. These 2,800,000 Warrants were granted as additional consideration in connection with the amendment and termination of the Reporting Person's June 2010 employment agreement with the Issuer. |
/s/ Mark R. Patterson | 10/01/2010 | |
** 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. |