-----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, EMfugo5n6PrKIc3jSvaxUTObzkKI0S0VVx+IpGKpTpHXLrob+EgV4bTzfEaa4Hmd ezdogqqrxv1BmA8BpuXHEg== 0001209191-08-004467.txt : 20080118 0001209191-08-004467.hdr.sgml : 20080118 20080118145143 ACCESSION NUMBER: 0001209191-08-004467 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080116 FILED AS OF DATE: 20080118 DATE AS OF CHANGE: 20080118 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NovaRay Medical, Inc. CENTRAL INDEX KEY: 0001383529 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 161778998 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 1850 EMBARCADERO ROAD CITY: PALO ALTO STATE: CA ZIP: 94303 BUSINESS PHONE: 4089665738 MAIL ADDRESS: STREET 1: 1850 EMBARCADERO ROAD CITY: PALO ALTO STATE: CA ZIP: 94303 FORMER COMPANY: FORMER CONFORMED NAME: Vision Acquisition I, Inc DATE OF NAME CHANGE: 20061213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AMERICAN INTERNATIONAL GROUP INC CENTRAL INDEX KEY: 0000005272 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52731 FILM NUMBER: 08538588 BUSINESS ADDRESS: STREET 1: 70 PINE ST CITY: NEW YORK STATE: NY ZIP: 10270 BUSINESS PHONE: 2127707000 MAIL ADDRESS: STREET 1: 70 PINE STREET CITY: NEW YORK STATE: NY ZIP: 10270 FORMER NAME: FORMER CONFORMED NAME: AMERICAN INTERNATIONAL ENTERPRISES INC DATE OF NAME CHANGE: 19700507 4 1 bny46860_nr4.xml MAIN DOCUMENT DESCRIPTION X0202 4 2008-01-16 0001383529 NovaRay Medical, Inc. NO TICKER 0000005272 AMERICAN INTERNATIONAL GROUP INC 70 PINE STREET NEW YORK NY 10270 0 0 1 0 Common Stock, par value $0.0001 2008-01-16 4 S 0 1101000 0.65 D 0 I Indirectly held by subsidiaries Series A Convertible Preferred Stock, par value $0.0001 0 2008-01-16 4 S 0 442944 0.65 D 2012-12-27 Common Stock 442944 0 I Indirectly held by subsidiaries Series A Warrants (exercisable for Common Stock) 4.25 2008-01-16 4 S 0 147647 .0001 D 2012-12-27 2012-12-27 Common Stock 147647 0 I Indirectly held by subsidiaries The interests are held by AIU Insurance Company and Commerce and Industry Insurance Company bothof which are wholly-owned subsidiaries of American International Group, Inc. ("AIG"), as well as by certain sponsored private Equity funds for which AIG Global Investment Corp. ("AIGGIC") is the investment advisor or managing member. AIGGIC is a wholly-owned subsidiary of AIG. Series A Convertible Preferred Stock may not be converted into Common Stock and Series A Warrants may not be exercised within sixty (60) days if such conversion or exercise would result in any holders of Series A Convertible Preferred Stock or Series A Warrants owning more than 4.99% of the issuer's Common Stock. Hans Danielsson 2008-01-18 -----END PRIVACY-ENHANCED MESSAGE-----