-----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, Q7Dm5zqFDIySSzG04pzwovCETBbfSaTrLLtLp4J0IMRdJXRL4XVBsBkLYSuCNlyP KAONJ1LzD5YC/H0qAvCvIg== 0001108890-05-000500.txt : 20050722 0001108890-05-000500.hdr.sgml : 20050722 20050722133509 ACCESSION NUMBER: 0001108890-05-000500 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050117 FILED AS OF DATE: 20050722 DATE AS OF CHANGE: 20050722 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: SEVERANCE H LEIGH CENTRAL INDEX KEY: 0001106312 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30489 FILM NUMBER: 05968217 BUSINESS ADDRESS: BUSINESS PHONE: 3033947320 MAIL ADDRESS: STREET 1: 100 FILMORE ST STREET 2: STE 300 CITY: DENVER STATE: CO ZIP: 80206 4 1 form4sererance011705_ex.xml X0202 4 2005-01-17 0 0000849146 LIFELINE THERAPEUTICS, INC. LFLT 0001106312 SEVERANCE H LEIGH 14282 E. CALEY WAY AURORA CO 80016 1 0 0 0 Bridge Note 2 2005-01-17 4 P 0 38250 2 A 2005-01-17 2005-04-18 Common Stock 38250 38250 I By Trust Bridge Note 2 2005-01-17 4 P 0 38250 2 A 2005-01-17 2005-04-18 Common Stock 38250 38250 I By Trust Bridge Note Warrants 2 2005-01-17 4 P 0 38250 2 A 2005-04-18 2008-04-18 Common Stock 38250 38250 I By Trust Bridge Note Warrants 2 2005-01-17 4 P 0 38250 2 A 2005-04-18 2008-04-18 Common Stock 38250 38250 I By Trust Issued when priced, but not determinable at 01-17-05. By Profit Sharing Plan and Trust. By Pension Plan and Trust. Leigh H. Severance 2005-06-22 -----END PRIVACY-ENHANCED MESSAGE-----