-----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, Aun2iKUrfPkmeCTKz8up/m15OA/bGXZox+HJRSpuS0g108ze/2SZt5Azww5QI59m deigSlI6pJSZMXW8etsMgg== 0001020229-03-000006.txt : 20030207 0001020229-03-000006.hdr.sgml : 20030207 20030207161831 ACCESSION NUMBER: 0001020229-03-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030206 FILED AS OF DATE: 20030207 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: AMICO PETER CENTRAL INDEX KEY: 0001213103 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 4 MAIL ADDRESS: STREET 1: 870 B CENTRAL AVE CITY: HAMMONTON STATE: NJ ZIP: 08037 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AIRTRAX INC CENTRAL INDEX KEY: 0001081372 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 223506376 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16237 FILM NUMBER: 03544995 BUSINESS ADDRESS: STREET 1: 1616 PENNSYLVANIA AVE 122 CITY: VINELAND STATE: NJ ZIP: 08361 BUSINESS PHONE: 8563278112 MAIL ADDRESS: STREET 1: 1616 PENNSYLVANIA AVE 122 CITY: VINELAND STATE: NJ ZIP: 08361 FORMER COMPANY: FORMER CONFORMED NAME: MAS ACQUISITION IX CORP DATE OF NAME CHANGE: 19990308 4 1 form40203.htm FORM 4
 



[  ]      

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

(Print or Type Responses)

 

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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

 

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hours per response. . . . 0.5


 

1.

Name and Address of Reporting Person*

  

2.

Issuer Name and Ticker or Trading Symbol

 Airtrax, Inc. (AITX)

 

6.

Relationship of Reporting Person(s) to Issuer

(Check all applicable)


_x__

Director

___

10% Owner


__x_

Officer (give title below)

___

Other (specify below)


President


  

(Last)     (First)     (Middle)

Amico, Peter

3.

I.R.S. Identification Number of Reporting

Person, if an entity (voluntary)

 

4.

Statement for Month/Day/Year

2/7/03

  

(Street)

870-B Central Ave

 
 

5.

If Amendment, Date of Original (Month/Day/Year)

 

7.

Individual or Joint/Group Filing (Check Applicable Line)


_X_

Form filed by One Reporting Person


___

Form filed by More than One Reporting Person

(City)     (State)     (Zip)

Hammonton,      NJ  08037

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 Following Reported Transactions(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

02/06/03

 

A

 

180,000

A

 1/

280,000

D

 

Common stock

    
   

1,408,892.

I

Held by Arcon Corp., an affiliate

Common stock

    
   

305,737

I

Held as security for a loan

Voting preferred stock

    
   

275,000

I

Held by Arcon Corp., an affiliate

     
                < /TD>                  

1/ Of the total amount, 20,000 shares were exercised at a total price of $2.00, 50,000 shares were exercised at $0.315 per share, 60,000 shares were exercised at a price of $0.1575 per share, and 50,000 shares were exercised at a total price of $0.01.


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 Exerciseable and Expiration Date
(Month/Day/Year)

 

7.

Title and Amount of Underlying Securities
(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 of Derivative Securities: 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

      
                
                
                
                
                
                
                
                
                
              

Explanation of Responses:

 

/s/ Peter Amico
**Signature of Reporting Person

2/7/03
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, on of which must be manually signed. If space is insufficient, see Instruction 6 for procedure


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