-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, I+nOYcwv329Hfrmih+bUE1hGNHiprG2gKhIq6T1JsTc4YF2qFi7ft7qShMmohdKW YIykDpg3BepmOIZZJyCB1A== 0001209191-04-005403.txt : 20040129 0001209191-04-005403.hdr.sgml : 20040129 20040129144324 ACCESSION NUMBER: 0001209191-04-005403 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040129 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ISOLAGEN INC CENTRAL INDEX KEY: 0000357097 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 870458888 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2500 WILCREST STREET 2: 5TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77042 BUSINESS PHONE: 713-780-4754 MAIL ADDRESS: STREET 1: 2500 WILCREST STREET 2: 5TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77042 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN FINANCIAL HOLDING INC /DE DATE OF NAME CHANGE: 19960330 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN FINANCIAL HOLDING INC /CO DATE OF NAME CHANGE: 19921008 FORMER COMPANY: FORMER CONFORMED NAME: VIDTOR COMMUNICATIONS INC DATE OF NAME CHANGE: 19920721 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AVIGNON MICHAEL CENTRAL INDEX KEY: 0001096424 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31564 FILM NUMBER: 04551939 BUSINESS ADDRESS: STREET 1: 2500 WILCREST STREET 2: SUITE 555 CITY: HOUSTON STATE: TX ZIP: 77042 BUSINESS PHONE: 7137804754 MAIL ADDRESS: STREET 1: 2500 WILCREST STREET 2: SUITE 555 CITY: HOUSTON STATE: TX ZIP: 77042 5 1 boh12032_7ma.xml MAIN DOCUMENT DESCRIPTION X0201 5 2003-12-31 0 0 0 0000357097 ISOLAGEN INC ILE 0001096424 AVIGNON MICHAEL 2500 WILCREST, 5TH FLOOR HOUSTON TX 77042 1 0 0 0 Common Stock 1000000 I shares are held by his wife Common Stock 775734 D Non Qualified Stock Option 6.00 2003-06-18 2011-07-10 Common Stock 900000 900000 D Non Qualified Stock Option 4.50 2004-02-25 2012-12-31 Common Stock 400000 400000 D 200,000 of these options vest on February 25, 2004 and 200,000 of these options vest on February 25, 2005 /s/ Michael Avignon 2004-01-22 -----END PRIVACY-ENHANCED MESSAGE-----