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 |
|
1. Name and Address of Reporting Person*
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year) 08/06/2009 |
3. Issuer Name and Ticker or Trading Symbol
ZAP [ ZAAP ] |
|||||||||||||
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
5. If Amendment, Date of Original Filed
(Month/Day/Year) |
||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
---|---|---|---|
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 | 20,000,000 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
---|---|---|---|---|---|---|---|
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 | ||||
Common Stock Warrants (right to buy) | 08/06/2009 | 08/06/2014 | Common Stock | 10,000,000 | $0.5 | D | |
Secured Convertible Promissory Note(1) | 08/06/2009 | 12/31/2012 | Common Stock | 20,000,000(1) | $0.5 | D | |
Common Stock Warrants (right to buy)(2) | (2) | 08/06/2014 | Common Stock | 6,000,000(2) | $0.5 | D |
Explanation of Responses: |
1. The outstanding principal amount of this secured convertible promissory note can be converted at any time after its issuance date and until three days before its maturity date for 2,000 shares of ZAP Common Stock for each $1,000 converted under the note. ZAP has the ability to make advances on the note up to an aggregate amount of $10,000,000, but has not made any advances as of April 28, 2011 and therefore there is no principal outstanding on the note and the note is not currently convertible into any shares of ZAP Common Stock. |
2. This warrant is exercisable for up to 6 million shares of ZAP Common Stock, based on the outstanding principal amount under the note referenced in footnote (1) above. As no amounts have been advanced and no principal is outstanding under this note, this warrant is not currently exercisable for any shares of ZAP Common Stock. |
By: /s/ Priscilla M. Lu, its General Partner | 04/29/2011 | |
** 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. |