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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
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*
NAM KI Y

(Last) (First) (Middle)
2990 AIRWAY AVENUE BUILDING A

(Street)
COSTA MESA CA 92626

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
T3 Motion, Inc. [ TTTM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO and Chairman
3. Date of Earliest Transaction (Month/Day/Year)
11/16/2011
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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 632,243 D
Common Stock 90,000 I By Son
Common Stock 11/16/2011 P 15,000 A $0.3892(1)(2) 2,988,579 I By Nam Family Trust DTD 2/17/97
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
Series H Common Stock Purchase Warrants (right to buy) $3 (3) 05/13/2013 Common Stock 632,243 632,243 I By Nam Family Trust DTD 2/17/97
Series E Common Stock Purchase Warrants (right to buy) $7.87 (3) 12/29/2014 Common Stock 27,478 27,478 I By Nam Family Trust DTD 2/17/97
Series G Common Stock Purchase Warrants (right to buy) $5 (3) 12/29/2014 Common Stock 195,373 195,373 I By Nam Family Trust DTD 2/17/97
Series J Common Stock Purchase Warrants (right to buy) $3.5 (3) 04/25/2016 Common Stock 50,000 50,000 I By Nam Family Trust DTD 2/17/97
Series I Common Stock Purchase Warrants (right to buy) $3.5 (3) 05/13/2016 Common Stock 632,243 632,243 I By Nam Family Trust DTD 2/17/97
Option (right to buy) $5 (4) 07/21/2020 Common Stock 30,000 30,000 D
Option (right to buy) $5 (5) 02/24/2021 Common Stock 100,000 100,000 D
Option (right to buy) $7.7 (6) 12/10/2017 Common Stock 100,000 100,000 D
Explanation of Responses:
1. Represents the weighted average purchase price for the reported transactions. The range of prices for such transactions was $0.3801 to $0.39.
2. The reporting person undertakes to provide upon request by the Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares purchased at each separate price.
3. Currently exercisable in full.
4. Option is exercisable only for vested shares. 25% of the shares underlying the option vest on July 21, 2011, the one year anniversary of the vesting commencement date; the remainder vest monthly in equal installments over the subsequent three year period.
5. Option is exercisable only for vested shares. 25% of the shares underlying the option vest on January 15, 2012, the one year anniversary of the vesting commencement date; the remainder vest monthly in equal installments over the subsequent three year period.
6. Option is exercisable only for vested shares. 25% of the shares underlying the option vest on December 10, 2008, the one year anniversary of the vesting commencement date; the remainder vest monthly in equal installments over the subsequent three year period.
Kelly J. Anderson, Attorney-in-fact for Ki Y. Nam 11/17/2011
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.