SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Magliochetti Family 2009 Irrevocable Trust dated 01/12/09

(Last) (First) (Middle)
C/O NIXON PEABODY LLP
100 SUMMER STREET

(Street)
BOSTON MA 02110

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Converted Organics Inc. [ COIN.OB ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
12/02/2011
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
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 Transaction(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 12/02/2011 P 1,166,666(1) A $0.01 2,500,000(1)(4)(5) D(1)(4)(5)
Common Stock 12/02/2011 P 1,166,667(2) A $0.01 2,500,000(2)(4)(5) D(2)(4)(5)
Common Stock 12/02/2011 P 1,166,667(3) A $0.01 2,500,000(3)(4)(5) D(3)(4)(5)
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 Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: 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
1. Name and Address of Reporting Person*
Magliochetti Family 2009 Irrevocable Trust dated 01/12/09

(Last) (First) (Middle)
C/O NIXON PEABODY LLP
100 SUMMER STREET

(Street)
BOSTON MA 02110

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
LAM 2005 Trust dated 02/15/05

(Last) (First) (Middle)
C/O NIXON PEABODY LLP
100 SUMMER STREET

(Street)
BOSTON MA 02110

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
ORM 2005 Trust dated 02/15/05

(Last) (First) (Middle)
C/O NIXON PEABODY LLP
100 SUMMER STREET

(Street)
BOSTON MA 02110

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Magliochetti Frank P.

(Last) (First) (Middle)
30 COACHMANS LANE

(Street)
NORTH ANDOVER MA 01845

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Magliochetti Laura Ashley

(Last) (First) (Middle)
5 GREENWOOD CIRCLE

(Street)
HILTON HEAD SC 29928

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Magliochetti Olivia Rose

(Last) (First) (Middle)
30 COACHMANS LANE

(Street)
NORTH ANDOVER MA 01845

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Johnson Peter S.

(Last) (First) (Middle)
C/O NIXON PEABODY LLP
100 SUMMER STREET

(Street)
BOSTON MA 02110

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. These shares were acquired by The Magliochetti Family 2009 Irrevocable Trust dated 1/12/09. The reported shares are owned directly by The Magliochetti Family 2009 Irrevocable Trust, and indirectly by Frank P. Magliochetti as co-trustee and a beneficiary of such trust. Peter S. Johnson serves as co-trustee of such trust.
2. These shares were acquired by the LAM 2005 Trust dated 02/15/05. The reported shares are owned directly by the LAM 2005 Trust, and indirectly by Laura A. Magliochetti as co-trustee and beneficiary of such trust. Mr. Johnson serves as co-trustee of such trust.
3. These shares were acquired by the ORM 2005 Trust dated 02/15/05. The reported shares are owned directly by the ORM 2005 Trust, and indirectly by Olivia R. Magliochetti, as co-trustee and beneficiary of such trust, and Frank P. Magliochetti. Mr. Johnson serves as co-trustee of such trust.
4. Mr. Johnson, in his capacity as co-trustee of each of The Magliochetti Family 2009 Irrevocable Trust dated 01/12/09, the LAM 2005 Trust dated 02/15/05 and the ORM 2005 Trust dated 02/15/05 (collectively, the "Trusts") may be deemed to own beneficially and indirectly the 7,500,000 aggregate shares of Common Stock reported herein which are deemed beneficially owned by the Trusts.
5. Mr. Johnson, Mr. Magliochetti, Ms. Laura Magliochetti, Ms. Olivia Magliochetti and the Trusts may be deemed to be a "group" within the meaning of Section 13(d)(3) of the Securities Exchange Act of 1934, as amended. Each reporting person disclaims beneficial ownership of the shares of Common Stock reported herein except to the extent of, as applicable, his or its pecuniary interest therein, and expressly declares that the filing of this Form 4 shall not be construed as an admission that such reporting person is the beneficial owner of the shares of Common Stock that may be beneficially owned by any other reporting person.
/s/ Peter S. Johnson, Trustee of The Magliochetti Family 2009 Irrevocable Trust 12/12/2011
/s/ Peter S. Johnson, Trustee of the LAM 2005 Trust 12/12/2011
/s/ Peter S. Johnson, Trustee of the ORM 2005 Trust 12/12/2011
/s/ Peter S. Johnson, attorney-in-fact for Frank P. Magliochetti 12/12/2011
/s/ Peter S. Johnson, attorney-in-fact for Laura A. Magliochetti 12/12/2011
/s/ Peter S. Johnson, attorney-in-fact for Olivia R. Magliochetti 12/12/2011
/s/ Peter S. Johnson 12/12/2011
** 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 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).
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