-----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, MYxdMGoj/r9t0J2XWjqoxRdUT7K6NGaatrxKiMpzbZi2g2i13owkmdYpXM5YK0Mh 7Rvl4QFJ5DLQyz4XkWqJPQ== 0001050502-05-000214.txt : 20050405 0001050502-05-000214.hdr.sgml : 20050405 20050405185702 ACCESSION NUMBER: 0001050502-05-000214 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050404 FILED AS OF DATE: 20050405 DATE AS OF CHANGE: 20050405 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 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: 05735503 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 4 1 form4dws_ex.xml X0202 4 2005-04-04 0 0000849146 LIFELINE THERAPEUTICS, INC. LFLT 0001300495 Streets Daniel W 22130 E. COSTILLA DRIVE AURORA CO 80016 1 1 1 0 Treasurer, Secretary, CFO Common Stock 2005-04-04 4 P 0 40170 .50 A 2048670 D Unit Warrants 2.50 2005-04-15 2008-04-15 Common Stock 14491 0 D Unit Warrants 2.50 2005-04-15 2008-04-15 Common Stock 43815 0 I By Wife's IRA Convertible Bridge Note 2.00 2004-11-23 2005-12-31 Common Stock 14491 0 D Convertible Bridge Note 2.00 2004-11-23 2005-12-31 Common Stock 43815 0 I By Wife's IRA Bridge Note Warrants 2.00 2005-04-15 2008-04-15 Common Stock 14491 0 D Bridge Note Warrants 2.00 2005-04-15 2008-04-15 Common Stock 43815 0 I By Wife's IRA This date is an estimate. The conversion date is 3/31/2005. The Warrants are issuable upon conversion of the Bridge Note. /s/ Daniel W. Streets 2005-04-05 -----END PRIVACY-ENHANCED MESSAGE-----