0001104659-16-151675.txt : 20161024 0001104659-16-151675.hdr.sgml : 20161024 20161024164024 ACCESSION NUMBER: 0001104659-16-151675 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160930 FILED AS OF DATE: 20161024 DATE AS OF CHANGE: 20161024 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN DG ENERGY INC CENTRAL INDEX KEY: 0001378706 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC & OTHER SERVICES COMBINED [4931] IRS NUMBER: 043569304 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 45 FIRST AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 781-622-1120 MAIL ADDRESS: STREET 1: 45 FIRST AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pantopoulou Despoina CENTRAL INDEX KEY: 0001674838 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34493 FILM NUMBER: 161948447 MAIL ADDRESS: STREET 1: 36 CHEMIN DE MILIEU STREET 2: COLLONGE-BELLERIVE CITY: GENEVA STATE: V8 ZIP: 1245 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Natsis Tryfon CENTRAL INDEX KEY: 0001674697 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34493 FILM NUMBER: 161948448 MAIL ADDRESS: STREET 1: 36 CHEMIN DU MILIEU STREET 2: COLLONGE-BELLERIVE CITY: GENEVA STATE: V8 ZIP: 1245 4 1 a4.xml 4 X0306 4 2016-09-30 1 0001378706 AMERICAN DG ENERGY INC ADGE 0001674697 Natsis Tryfon 36 CHEMIN DU MILIEU, COLLONGE-BELLERIVE GENEVA V8 1245 SWITZERLAND 0 0 0 1 Former 10% Owner 0001674838 Pantopoulou Despoina 36 CHEMIN DU MILIEU, COLLONGE-BELLERIVE GENEVA V8 1245 SWITZERLAND 0 0 0 1 Former 10% Owner 6% Senior Unsecured Debenture Due 2018 2.11 2016-09-30 4 J 0 4263737 D 2016-09-27 2018-05-25 Common Stock 2020728 5618681 D 6% Senior Unsecured Debenture Due 2018 2.11 2016-09-30 4 J 0 2200000 D 2016-09-27 2018-05-25 Common Stock 1042653 3418681 D The 6% senior unsecured debenture (the "Debenture") may be converted into shares of the Issuer's common stock at a conversion price of $2.20 per share, subject to adjustment in certain circumstances. In addition, the Issuer has the option to redeem the Debenture at 115% of the outstanding principal amount, along with any accrued but unpaid interest. The Reporting Persons exchanged an aggregate amount of $4,263,737 in principal and prepaid interest of the Debenture for an aggregate amount of 9,700,000 shares of common stock of EuroSite Power Inc. held by the Issuer at an exchange rate of $0.40 per share. The Debenture is jointly owned by Tryfon Natsis and his wife, Despoina Pantopoulou, as joint tenants with the right of survivorship. The Reporting Persons received payment in the aggregate amount of $2,200,000 from the Issuer in exchange, in part, for reducing the principal of the Debenture from $5,618,681 to $3,418,681. /s/ Tryfon Natsis 2016-10-24 /s/ Despoina Pantopoulou 2016-10-24