-----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, K1dmt97zzf6KdNMDXVtnematHmI2yE+a4rbUtLzAYXWMtCQQ0dtvHraXq9PtaAkC 4AcOseD0HHetj0x+OOP+FQ== 0001021890-05-000103.txt : 20050715 0001021890-05-000103.hdr.sgml : 20050715 20050715170534 ACCESSION NUMBER: 0001021890-05-000103 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050527 FILED AS OF DATE: 20050715 DATE AS OF CHANGE: 20050715 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Streets Daniel W CENTRAL INDEX KEY: 0001300495 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30489 FILM NUMBER: 05957840 BUSINESS ADDRESS: BUSINESS PHONE: 720-488-1711 MAIL ADDRESS: STREET 1: 6400 S FIDDLERS GREEN CIRCLE STREET 2: SUITE 1750 CITY: DENVER STATE: CO ZIP: 80111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LIFELINE THERAPEUTICS, INC. CENTRAL INDEX KEY: 0000849146 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 841097796 STATE OF INCORPORATION: CO FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 6400 SOUTH FIDDLER'S GREEN CIRCLE STREET 2: SUITE 1750 CITY: ENGLEWOOD STATE: CO ZIP: 80111 BUSINESS PHONE: 720-488-1711 MAIL ADDRESS: STREET 1: 6400 SOUTH FIDDLER'S GREEN CIRCLE STREET 2: SUITE 1750 CITY: ENGLEWOOD STATE: CO ZIP: 80111 FORMER COMPANY: FORMER CONFORMED NAME: YAAK RIVER RESOURCES INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: ANDRAPLEX CORP DATE OF NAME CHANGE: 19920406 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-05-27 1 0000849146 LIFELINE THERAPEUTICS, INC. LFLT 0001300495 Streets Daniel W 22130 E. COSTILLA DRIVE AURORA CO 80016 0 0 0 1 Former Officer Common Stock 2005-05-27 5 J 0 E 2008500 D 1004250 I By Wife Common Stock 2005-05-27 5 J 0 E 1004250 A 600000 I By Trust Common Stock 2005-05-27 5 J 0 E 600000 A 458911 D Common Stock 2005-05-27 5 J 0 E 404250 A 43816 I By Wife's IRA Bridge Note Warrants 2 2005-04-18 4 J 0 0 2 A 2005-04-18 2008-04-18 Common Stock 14491 14491 D Bridge Note Warrants 2 2005-04-18 4 J 0 0 2 A 2005-04-18 2008-04-18 Common Stock 43816 43816 I By Wife's IRA Unit Warrants 2.5 2005-04-18 4 J 0 0 2.5 A 2005-04-18 2008-04-18 Common Stock 14491 14491 D Unit Warrants 2.5 2005-04-18 4 J 0 0 2.5 A 2005-04-18 2008-04-18 Common Stock 43816 43816 I By Wife's IRA (1) On June 2, 2005, Dan and Carol Streets transferred 1,004,250 shares of common stock to Carol W. Streets. (2) On June 2, 2005, Dan and Carol Streets transferred 600,000 shares of common stock to a grantor retained annuity trust, "Daniel W. Streets 2005 Retained Annuity Trust." (3) On June 2, 2005, Dan and Carol Streets transferred 404,250 shares of common stock to Daniel W. Streets. 54,661 owned by Daniel W. and Carol H. Streets and joint tenants This transaction is a carryforward of derivative securities held. Transfer in ownership Daniel W. Streets 2005-06-22 -----END PRIVACY-ENHANCED MESSAGE-----