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Proc-Type: 2001,MIC-CLEAR
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Form 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL OMB Number: 3235-0104
Washington, DC 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility
Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
Expires: December 31, 2001
Estimated average burden
hours per response. . . 0.5
(Print or type responses) |
1. Name and Address of Reporting Person*
(Last) (First) (Middle) 1017 Wild Dunes Circle (Street)
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2. Date of Event |
4. Issuer Name and Ticker or Trading Symbol |
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3. I.R.S. Identification |
5. Relationship of Reporting Person(s) to Issuer Operating Officer
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6. If Amendment, Date of |
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7. Individual or Joint/Group |
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Table I -- Non-Derivative Securities Beneficially Owned |
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1. Title of Security |
2. Amount of Securities |
3. Ownership |
4. Nature of Indirect Beneficial Ownership |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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1. Title of Derivative Security |
2. Date Exer- |
3. Title and Amount of Securities Underlying |
4. Conver- |
5. Owner- |
6. Nature of Indirect |
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Date Exer-cisable |
Expira- tion Date |
Title |
Amount or Number of Shares |
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Series B Preferred Stock(1) |
N/A |
N/A |
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6,821,690 |
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Series B Preferred Stock |
N/A |
N/A |
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1,378,310 |
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See Footnote (3) |
Series B Preferred Stock |
N/A |
N/A |
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300,000 |
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See Footnote (4) |
Warrant(s) to purchase Common Stock |
(5) |
02/01/2006 |
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3,327,654(6) |
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Warrant(s) to purchase Common Stock |
(5) |
02/01/2006 |
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415,957(7) |
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Warrant(s) to purchase Common Stock |
(5) |
02/01/2006 |
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292,680 |
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See Footnote (8) |
Warrant(s) to purchase Common Stock |
(5) |
02/01/2006 |
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36,588 |
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See Footnote (9) |
Option(s) to purchase Common Stock |
02/01/2001 |
02/01/2010 |
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200,000(10) |
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Explanation of Responses: |
(1) | Each share of Series B Preferred Stock shall convert, on a mandatory basis, into two shares of Common Stock immediately following stockholder approval of an increase in the number of authorized shares of Common Stock. |
(2) | 2,050,000 shares are held in escrow; escrow to be released February 1, 2003 subject to Mr. Leifheit's indemnification obligations. |
(3) | For purposes of determining beneficial ownership solely under Rule 16a(1), Mr. Leifheit is Voting Trustee of 1,378,310 shares held in a Voting Trust, including those shares referenced in Footnote (4) below, for which Mr. Leifheit disclaims beneficial ownership under the definition set forth in Rule 16a(2). |
(4) | 100,000 shares are held by Clifford A. Clark, as Trustee under the NCUTMA, for each of Eric Leifheit, Alex Leifheit and T.J. Leifheit (Mr. Leifheit's three children); which 300,000 shares are included in the Voting Trust described in Footnote (3) above, and for which shares Mr. Leifheit disclaims beneficial ownership. |
(5) | Exercisable based upon various contingencies, none of which will occur within sixty days. |
(6) | A warrant for 2,000,000 shares is being held in escrow; escrow to be released February 1, 2003 subject to Mr. Leifheit's indemnification obligations. |
(7) | A warrant for 250,000 shares is being held in escrow; escrow to be released February 1, 2003 subject to Mr. Leifheit's indemnification obligations. |
(8) | A warrant for 97,740 shares is being held by Clifford A. Clark, as Trustee under the NCUTMA, for each of Eric Leifheit, Alex Leifheit and T.J. Leifheit (Mr. Leifheit's three children), for which three warrants and 293,220 underlying shares Mr. Leifheit disclaims beneficial ownership. |
(9) | A warrant for 6,098 shares is being held by Clifford A. Clark, as Trustee under the NCUTMA, for each of Eric Leifheit, Alex Leifheit and T.J. Leifheit (Mr. Leifheit's three children), for which three warrants and underlying 18,294 shares Mr. Leifheit disclaims beneficial ownership. |
(10) | 100,000 Options to purchase Common Stock were granted and fully exercisable as of February 1, 2001. Mr. Leifheit received the remaining 100,000 options on becoming a Director of Paladyne. Of these options 33,334 shares became exercisable as of the grant date of February 1, 2001; 33,333 shares are exercisable on February 1, 2002; and 33,333 shares are exercisable on February 1, 2003. |
** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
/s/ Terrence J. Leifheit
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February 12, 2001 |
Note: |
File three copies of this Form, one of which must be manually signed. If space is insufficient, |
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