0001437749-11-006815.txt : 20110913
0001437749-11-006815.hdr.sgml : 20110913
20110913214627
ACCESSION NUMBER: 0001437749-11-006815
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110912
FILED AS OF DATE: 20110913
DATE AS OF CHANGE: 20110913
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Stein Damon S
CENTRAL INDEX KEY: 0001388992
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-52635
FILM NUMBER: 111089219
MAIL ADDRESS:
STREET 1: C/O ACCELERIZE NEW MEDIA, INC.
STREET 2: 6477 HIGHWAY 93 SOUTH, SUITE 303
CITY: WHITEFISH
STATE: MT
ZIP: 59937
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ACCELERIZE NEW MEDIA INC
CENTRAL INDEX KEY: 0001352952
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 204 RIVERSIDE AVE
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92663
BUSINESS PHONE: 800-810-8815
MAIL ADDRESS:
STREET 1: 204 RIVERSIDE AVE
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92663
4
1
rdgdoc.xml
PRIMARY DOCUMENT
X0304
4
2011-09-12
0001352952
ACCELERIZE NEW MEDIA INC
ACLZ.OB
0001388992
Stein Damon S
C/O ACCELERIZE NEW MEDIA, INC.
2244 WEST COAST HIGHWAY, SUITE 250
NEWPORT BEACH
CA
92663
1
General Counsel/Secretary
Warrants
0.15
2011-09-12
4
D
0
225000
D
2012-01-01
Common Stock
225000
0
D
Warrants
0.15
2011-09-12
4
A
0
225000
A
2017-01-01
Common Stock
225000
225000
D
The two reported transactions involved an amendment of outstanding warrants, resulting in the deemed cancellation of the outstanding warrants and the issuance of replacement warrants. The warrants were originally issued on January 1, 2007 and vested on July 1, 2008, but became fully exercisable on October 14, 2008 upon meeting certain special vesting provisions provided in the warrants.
/s/ Damon S. Stein
2011-09-13