-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, WHX8Pxt0b0edzoiS33x2eOO0Pner/o+NLW90irr7JHa+3+tlWG6LCKdzS23pgqNO F5Tn76IluGTsgPxgAMuW+Q== 0000905729-04-000350.txt : 20040924 0000905729-04-000350.hdr.sgml : 20040924 20040924165614 ACCESSION NUMBER: 0000905729-04-000350 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040728 FILED AS OF DATE: 20040924 DATE AS OF CHANGE: 20040924 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTERLEUKIN GENETICS INC CENTRAL INDEX KEY: 0001037649 STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835] IRS NUMBER: 943123681 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 135 BEAVER ST CITY: WATHAM STATE: MA ZIP: 02452 BUSINESS PHONE: 1-781-398-0700 MAIL ADDRESS: STREET 1: 135 BEAVER ST CITY: WATHAM STATE: MA ZIP: 02452 FORMER COMPANY: FORMER CONFORMED NAME: MEDICAL SCIENCE SYSTEMS INC DATE OF NAME CHANGE: 19971003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Alticor Global Holdings Inc. CENTRAL INDEX KEY: 0001303680 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23413 FILM NUMBER: 041045426 BUSINESS ADDRESS: STREET 1: 7575 FULTON STREET EAST CITY: ADA STATE: MI ZIP: 49355-0001 BUSINESS PHONE: (616) 787-5221 MAIL ADDRESS: STREET 1: 7575 FULTON STREET EAST CITY: ADA STATE: MI ZIP: 49355-0001 3 1 primary_doc.xml PRIMARY DOCUMENT X0202 3 2004-07-28 0 0001037649 INTERLEUKIN GENETICS INC ILGN 0001303680 Alticor Global Holdings Inc. 7575 FULTON STREET EAST ADA MI 49355-0001 0 0 1 0 Series A Preferred Stock 0.3196 Common Stock I By subsidiaries Convertible Promissory Notes 0.6392 Common Stock I By subsidiaries Not applicable. On July 28, 2004, the Reporting Person became the ultimate parent corporation of Pyxis Innovations Inc. ("Pyxis"), which owns 5,000,000 shares of the issuer's Series A Preferred Stock. As of the date of this filing, these shares are convertible into 28,160,200 shares of the issuer's common stock, reflecting a conversion price of $.3196 per share, subject to adjustment as provided in the Certificate of Designations, Preferences and Rights for Series A Perferred Stock. Pyxis holds notes from the issuer with an aggregate original principal amount of $2,595,336. The principal amount of the notes, plus accrued interest thereon, is convertible into the issuer's common stock at any time at the option of Pyxis. These notes are convertible into shares of common stock at a conversion price equal to two times the conversion price of the Series A Preferred Stock in effect at the time of conversion. As of September 23, 2004, the notes would have been convertible into 4,109,929 shares of the issuer's common stock. /s/ Michael A. Mohr, Vice President and Secretary 2004-09-24 -----END PRIVACY-ENHANCED MESSAGE-----