-----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, GTDDAm9gXcs4GoiV3kQGB6CSy+ALDiTkMHzX6NgaLIOMNcLe1ie0q8hxEZMTSpa2 ozt5CcNonU1CfvQyw9vuYQ== 0000935366-08-000012.txt : 20080819 0000935366-08-000012.hdr.sgml : 20080819 20080819163634 ACCESSION NUMBER: 0000935366-08-000012 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070930 FILED AS OF DATE: 20080819 DATE AS OF CHANGE: 20080819 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GALLERY OF HISTORY INC CENTRAL INDEX KEY: 0000763730 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-RETAIL STORES, NEC [5990] IRS NUMBER: 880176525 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 3601 WEST SAHARA AVE STREET 2: PROMENADE SUITE CITY: LAS VEGAS STATE: NV ZIP: 89102-5822 BUSINESS PHONE: 7023641000 MAIL ADDRESS: STREET 1: 3601 WEST SAHARA AVENUE STREET 2: PROMENADE SUITE 207 CITY: LAS VEGAS STATE: NV ZIP: 89102 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN MUSEUM OF HISTORICAL DOCUMENTS CHARTERED/NV/ DATE OF NAME CHANGE: 19900816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AXELROD TODD M CENTRAL INDEX KEY: 0000935366 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13757 FILM NUMBER: 081028006 BUSINESS ADDRESS: BUSINESS PHONE: 7023641000 MAIL ADDRESS: STREET 1: C/O GALLERY OF HISTORY INC STREET 2: 3601 WEST SAHARA AVE PROMENADE SUITE CITY: LAS VEGAS STATE: NV ZIP: 89102 5 1 primary_doc.xml PRIMARY DOCUMENT X0303 5 2007-09-30 0 0 0 0000763730 GALLERY OF HISTORY INC HIST 0000935366 AXELROD TODD M C/O GALLERY OF HISTORY INC 3601 WEST SAHARA AVE PROMENADE SUITE LAS VEGAS NV 89102 1 1 1 0 President,CEO Series A Convertible Preferred Stock 2006-01-20 5 P 0 L 1615861 A 2006-01-20 Common Stock 1615861 1615861 D Series A Convertible Preferred Stock 2006-08-31 5 J 0 L 0 A 2006-08-31 Common Stock 24238 1615861 D Series A Convertible Preferred Stock 2007-02-28 5 J 0 L 0 A 2007-02-28 Common Stock 24601 1615861 D Series A Convertibile Preferred Stock 2007-08-31 5 J 0 L 0 A 2007-08-31 Common Stock 24971 1615861 D Series A Convertible Preferred Stock 2008-02-28 5 J 0 L 0 A 2008-02-28 Common Stock 25345 1615861 D The Series A Convertible Preferred Stock (the "Preferred Stock") is convertible into shares of the Issuer's Common Stock at the rate of one share of Common Stock for every $2.00 in liquidation value of the Preferred Stock, as adjusted. The Preferred Stock earns dividends at the rate of 3% per annum (payable semi-annually). Unpaid dividends are cumulative and increase the liquidation value. The Preferred Stock has no expiration date. Represents additional shares of Common Stock issuable upon conversion of the Preferred Stock as a result of an increase in the liquidation value as a result of accrued and unpaid dividends. Todd Axelrod 2008-08-19 -----END PRIVACY-ENHANCED MESSAGE-----