-----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, KIxubOZgY/jDrTg4Va9a9kFDBFon8X5ZgTbaDCe/cOPcXfQA5/ey5s4FtSA+zfa/ NQ2FeZwRwNsFy6vhjhhzyQ== 0001011438-04-000245.txt : 20040802 0001011438-04-000245.hdr.sgml : 20040802 20040802164633 ACCESSION NUMBER: 0001011438-04-000245 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031013 FILED AS OF DATE: 20040802 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TIZABI JACQUES CENTRAL INDEX KEY: 0001165319 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09327 FILM NUMBER: 04945538 BUSINESS ADDRESS: STREET 1: 9300 WILSHIRE BLVD STREET 2: SUITE 308 CITY: BEVERLY HILLS STATE: CA ZIP: 90212 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNIVERSAL DETECTION TECHNOLOGY CENTRAL INDEX KEY: 0000763950 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] IRS NUMBER: 952746949 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9300 WILSHIRE BOULEVARD, SUITE 308 CITY: BEVERLY HILLS STATE: CA ZIP: 90212 BUSINESS PHONE: 3102483655 MAIL ADDRESS: STREET 1: 9300 WILSHIRE BOULEVARD, SUITE 308 CITY: BEVERLY HILLS STATE: CA ZIP: 90212 FORMER COMPANY: FORMER CONFORMED NAME: POLLUTION RESEARCH & CONTROL CORP /CA/ DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: DASIBI ENVIRONMENTAL CORP DATE OF NAME CHANGE: 19900529 4 1 edg04-0097_ex.xml X0202 4 2003-10-13 0 0000763950 UNIVERSAL DETECTION TECHNOLOGY UDTT 0001165319 TIZABI JACQUES 9595 WILSHIRE BLVD SUITE 700 BEVERLY HILLS CA 90212 1 1 1 0 Pres./Chief Executive Officer 9% Convertible Debentures 2003-10-13 4 D 0 20000 D 2004-07-30 Common Stock 0 0 I JRT Holdings, Inc. The 9% convertible debentures were canceled by mutual agreement of the reporting person and JRT Holdings, Inc. JRT received a non-convertible promissory note in the amount of $20,000 as consideration for the cancellation and is entitled to the interest accrued on the 9% convertible debentures. The conversion price of the convertible debenture was the lesser of (i) $2.10 or (ii) 80% of the lowest closing bid price of the common stock for the five trading days immediately preceding the date of conversion. The debentures were convertible until such time as the principal amounts and interest were paid off. /s/ Jacques Tizabi 2004-07-30 -----END PRIVACY-ENHANCED MESSAGE-----