SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL 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).
  
Form 3 Holdings Reported.
  
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
STARR GARY

(Last) (First) (Middle)
501 FOURTH ST.

(Street)
SANTA ROSA CA 95401

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ZAP [ ZAPZ ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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 at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 1,045,845 D
Common Stock 5,000 I Held by Dependent Children
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) $1.2 (1) 12/19/2011 Common Stock 116,667 116,667 D
Stock Option (right to buy) $0.3 (1)(2) 07/05/2012 Common Stock 200,000 200,000 D
Stock Warrant (right to buy) Series B $1.07 (1) 06/30/2004 Common Stock 985,845 985,845 D
Stock Warrant (right to buy) Series B $1.07 (1) 06/30/2004 Common Stock 5,000 5,000 I Held by Dependent Children
Stock Warrant (right to buy) Series C $4(3) (1) 07/01/2004 Common Stock 1,045,845 1,045,845 D
Stock Warrant (right to buy) Series C $4(3) (1) 07/01/2004 Common Stock 5,000 5,000 I Held by Dependent Children
Stock Warrant (right to buy) Series D $8(4) (1) 06/01/2005 Common Stock 1,045,845 1,045,845 D
Stock Warrant (right to buy) Series D $8(4) (1) 07/01/2005 Common Stock 5,000 5,000 I Held by Dependent Children
Stock Warrant (right to buy) Series K $1 (1) 07/01/2005 Common Stock 850,000 850,000 D
Stock Warrant (right to buy) Series K-2 $1 (1) 07/01/2005 Common Stock 150,000 150,000 D
Explanation of Responses:
1. Current
2. Vest over 36 Months
3. Price Range from $4.00 to $5.00
4. Price Range from $8.00 to $10.00
GARY STARR 06/24/2004
** 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.