FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 01/04/2006 |
3. Issuer Name and Ticker or Trading Symbol
LIBERTY DIVERSIFIED HOLDINGS INC [ LDHI.OB ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 2,850,000 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series B Preferred | (1) | (1) | Common Stock | 100,000 | (1) | D | |
Series D Preferred(2) | (3) | (3) | Common Stock | (4) | (4) | D |
Explanation of Responses: |
1. Series B Preferred may be converted any time, with no expiration. There is no cost to convert. |
2. Pursuant to the Purchase Agreement between the Issuer, Mario Ramirez and MCR Packaging and Printing Corp. dated January 6, 2005, subject to requisite shareholder approval and effective filing of a Certificate of Designation of Series D Preferred Stock, Mario Ramirez was granted 800,000 of Series D Preferred Stock. |
3. Subject to requisite shareholder approval, Series D Preferred shall be exercisable any time without expiration date. |
4. The number of shares of the common stock into which the Series D Preferred Stock may be converted shall equal 1,000,000 divided by the current common stock market Price, which shall be shall be the ten day weighted average trading price of the Issuer's common stock, with a ceiling of $1.00 and a floor of $.05. |
Mario Ramirez | 01/19/2006 | |
** 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 5 (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. |