-----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, Dk6UkSkMJCjXkuFwgb+J6j+CQYRFYKRiMY/cGnd7iwxI2E5t1iB9Gs3GKKVKYHaX wG6SlNInv49qVleAnal6SA== 0001236160-03-000003.txt : 20031223 0001236160-03-000003.hdr.sgml : 20031223 20031223162732 ACCESSION NUMBER: 0001236160-03-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031219 FILED AS OF DATE: 20031223 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AVATECH SOLUTIONS INC CENTRAL INDEX KEY: 0000852437 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 841035353 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 11403 CRONHILL DRIVE STREET 2: SUITE A CITY: OWING MILLS STATE: MD ZIP: 21117 BUSINESS PHONE: 4109026900 MAIL ADDRESS: STREET 1: 11403 CRONHILL DRIVE STREET 2: SUITE A CITY: OWING MILLS STATE: MD ZIP: 21117 FORMER COMPANY: FORMER CONFORMED NAME: PLANETCAD INC DATE OF NAME CHANGE: 20001117 FORMER COMPANY: FORMER CONFORMED NAME: SPATIAL TECHNOLOGY INC DATE OF NAME CHANGE: 19960708 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLARK GARNETT Y JR CENTRAL INDEX KEY: 0001236160 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31265 FILM NUMBER: 031071378 BUSINESS ADDRESS: STREET 1: 10480 LITTLE PATUXENT PARKWAY CITY: COLUMBIA STATE: MD ZIP: 21044 BUSINESS PHONE: 4104654800 MAIL ADDRESS: STREET 1: 10480 LITTLE PATUXENT PARKWAY CITY: COLUMBIA STATE: MD ZIP: 21044 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-12-19 0 0000852437 AVATECH SOLUTIONS INC AVSO.ob 0001236160 CLARK GARNETT Y JR 10480 LITTLE PATUXENT PARKWAY COLUMBIA MD 21044 1 0 0 0 Series D Convertible Preferred Stock 2003-12-19 4 P 0 41666 A 2004-04-22 Common Stock 83333 41666 I See Footnote Warrant 0.45 2003-12-19 4 P 0 55555 A 2003-12-24 2004-12-24 Common Stock 55555 55555 I See Footnote 2 for 1 Series D Convertible Preferred Stock may be converted by the holder at any time after April 22, 2004 and will automatically convert or be redeemed upon the happening of certain events. There is no automatic or mandatory conversion or redemption on a fixed date. Each share of Series D Convertible Preferred Stock is purchased for $0.60. Each share is convertible into two shares of Common Stock and is accompanied by a warrant to purchase 1 1/3 shares of common stock for $0.45. 16,666 shares of Series D Preferred Stock and warrants to purchase 22,221 shares of common stock are owned by Citigroup Global Markets Inc. as SEP IRA Custodian for the benefit of Garnett Y. Clark, Jr. SEP IRA. 25,000 shares of Series D Preferred Stock and warrants to purchase 33,333 shares of common stock are owned by Garnett Y. Clark, Jr., Trustee for Citigroup Global Markets Inc. Super Simplified 401(k) Prototype FBO Garnett Y. Clark, Jr. Garnett Y. Clark, Jr. by Beth O. MacLaughlin, Attorney-in-Fact 2003-12-23 -----END PRIVACY-ENHANCED MESSAGE-----