-----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, PUhTnIcBKA7ef8qlsxUGtIP55Nlb8cNh/GRCtNtbS8pciUijvYwrpuSGNT78Pfsj LaanQLf5wi6PEReuTyJmgA== 0001144204-04-021931.txt : 20041216 0001144204-04-021931.hdr.sgml : 20041216 20041216152119 ACCESSION NUMBER: 0001144204-04-021931 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041214 FILED AS OF DATE: 20041216 DATE AS OF CHANGE: 20041216 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GELSTAT CORP CENTRAL INDEX KEY: 0000890725 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 411713474 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: SOUTHPOINT OFFICE CENTER STREET 2: 1650 WEST 82ND STREET, SUITE 1040 CITY: BLOOMINGTON STATE: MN ZIP: 55431 BUSINESS PHONE: 952-881-4105 MAIL ADDRESS: STREET 1: SOUTHPOINT OFFICE CENTER STREET 2: 1650 WEST 82ND STREET, SUITE 1040 CITY: BLOOMINGTON STATE: MN ZIP: 55431 FORMER COMPANY: FORMER CONFORMED NAME: DEVELOPED TECHNOLOGY RESOURCE INC DATE OF NAME CHANGE: 19930309 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLER DONALD CENTRAL INDEX KEY: 0001256159 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21394 FILM NUMBER: 041208045 BUSINESS ADDRESS: STREET 1: C/O VICOM STREET 2: 9449 SCIENCE CENTER DRIVE CITY: NEW HOPE STATE: MN ZIP: 55428 BUSINESS PHONE: 7635043051 4 1 v010026_ex.xml X0202 4 2004-12-14 0 0000890725 GELSTAT CORP GSAC 0001256159 MILLER DONALD C/O GELSTAT CORPORATION 1650 W. 82ND STREET, SUITE 1200 BLOOMINGTON MN 55431 1 0 0 0 Common Stock 225000 D Warrant (Right to buy) 3.00 2004-12-14 4 A 0 17000 A 2004-12-02 2009-12-02 Common Stock 17000 17000 D N/A /s/ Donald Miller 2004-12-16 -----END PRIVACY-ENHANCED MESSAGE-----