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
CASH TECHNOLOGIES INC [ TQ ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 11/26/2002 | |||||||||||||||||||||||||
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 | 11/26/2002 | P | 5,000 | A | $0.7725 | 5,000 | I | By JADA Grantor Retained Annuity Trust(1) | ||
Common Stock | 11/26/2002 | P | 10,000 | A | $0.7725 | 10,000 | I | By EADA Grantor Retained Annuity Trust(1) |
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 |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. Shares of Common Stock beneficially owned by Reporting Person, held in the following names: (a) 384,311 shares held in the name of Ejada Limited Partnership, of which Reporting Person is General Partner; (b) 20,000 shares held in the name of Eric & Jayne Butlein 1994 Revocable Trust, of which Reporting Person is Trustee; (c) 315,000 shares held in the name of tikkun Olam Foundation, Inc., of which Reporting Person is President; (d) 10,000 shares held in the name of EADA Grantor Retained Annuity Trust, of which Reporting Person is Trustee; and (e) 5,000 shares held in the name of JADA Grantor Retained Annuity Trust, of which Reporting Person is Trsutee. Ms. Jayne Butlein, an additional reporting person also serves as a general partner of Ejada, Limited Partership and as a Trustee of the Eric & Jayne Butlein 1994 Revocable Trust, JADA Grantor Retained Annuitty Trust and EADA Grantor Retained Annuity Trust. |
Remarks: |
The Reporting Persons for the purposes of this Form 4 are Mr. Eric Butlein, Ms. Jayne Butlein and Ejada Limited Partnership, who consist of a "group" for purposes of section 134(d) of the Exchange Act of 1934, as amended. The information set forth in Items 1, 2 and 4 of this Form 4 are applicable to each of the Reporting Persons. |
Eric Butlein | 07/25/2003 | |
Jayne Butlein | 07/25/2003 | |
Ejada Limited Partnership | 07/25/2003 | |
** 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. |