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