-----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, CQ5GTGoL3kUbSNXFQZ28MHru8iQyRLc/zJtQA4NkMP+VcmQmF8+XWYvPlEEzktUS iveE5gqOpLrcx2k/bL6YjA== 0001127602-09-020924.txt : 20091020 0001127602-09-020924.hdr.sgml : 20091020 20091020100502 ACCESSION NUMBER: 0001127602-09-020924 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091016 FILED AS OF DATE: 20091020 DATE AS OF CHANGE: 20091020 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: XETA TECHNOLOGIES INC CENTRAL INDEX KEY: 0000742550 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE & TELEGRAPH APPARATUS [3661] IRS NUMBER: 731130045 STATE OF INCORPORATION: OK FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: 1814 WEST TACOMA CITY: BROKEN ARROW STATE: OK ZIP: 74012 BUSINESS PHONE: 9186648200 MAIL ADDRESS: STREET 1: 1814 WEST TACOMA CITY: BROKEN ARROW STATE: OK ZIP: 74012 FORMER COMPANY: FORMER CONFORMED NAME: XETA CORP DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Forrest Greg D CENTRAL INDEX KEY: 0001332699 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16231 FILM NUMBER: 091127217 MAIL ADDRESS: STREET 1: 1814 W TACOMA CITY: BROKEN ARROW STATE: OK ZIP: 74012 4 1 form4.xml PRIMARY DOCUMENT X0303 4 2009-10-16 0000742550 XETA TECHNOLOGIES INC XETA 0001332699 Forrest Greg D 1814 W. TACOMA BROKEN ARROW OK 74012 1 1 CEO & President Stock Options (Right to Buy) 2.95 2009-10-16 4 D 0 40000 2.95 D 2009-10-19 2011-10-19 Common Stock 40000 0 D Stock Options (Right to Buy) 3.25 2009-10-16 4 D 0 40000 3.25 D 2011-01-05 2014-07-05 Common Stock 40000 0 D Stock Options (Right to Buy) 4.14 2009-10-16 4 D 0 20000 4.14 D 2010-12-05 2013-12-05 Common Stock 20000 0 D Stock Options (Right to Buy) 2.54 2009-10-16 4 A 0 71013 2.54 A 2015-10-16 Common Stock 71013 71013 D 50% on 10/16/2010; 25% on 10/16/2011; 25% on 10/16/2012. Exchanged for new options to purchase shares of common stock at an exercise price of $2.54/share (reported above) pursuant to the Company's stock option exchange program which commenced 09/17/2009 and terminated 10/16/2009. Granted in exchange for new options surrendered (reported above) pursuant to the Company's stock option exchange program which commenced 09/17/2009 and terminated 10/16/2009. Greg D Forrest 2009-10-19 -----END PRIVACY-ENHANCED MESSAGE-----