-----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, BDI2Ua0QEMQAPDEHqXzjKxV06G6/IWSvxSKrH8oCGFTzIx51IKv6PppqA5An3vw6 m/uECkoNRF4maHIUTjY50g== 0001082504-05-000058.txt : 20050718 0001082504-05-000058.hdr.sgml : 20050718 20050718100523 ACCESSION NUMBER: 0001082504-05-000058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050101 FILED AS OF DATE: 20050718 DATE AS OF CHANGE: 20050718 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MINRAD INTERNATIONAL, INC. CENTRAL INDEX KEY: 0001121225 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 872099034 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 847 MAIN ST. CITY: BUFFALO STATE: NY ZIP: 14203 BUSINESS PHONE: 716-855-1068 MAIL ADDRESS: STREET 1: 847 MAIN ST. CITY: BUFFALO STATE: NY ZIP: 14203 FORMER COMPANY: FORMER CONFORMED NAME: TECHNOLOGY ACQUISITION CORP DATE OF NAME CHANGE: 20000804 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KIMBERLIN KEVIN CENTRAL INDEX KEY: 0000904841 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49635 FILM NUMBER: 05958496 BUSINESS ADDRESS: STREET 1: SPENCER TRASK SECURITIES INC STREET 2: 535 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2123555565 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-01-01 0 0001121225 MINRAD INTERNATIONAL, INC. TACQ 0000904841 KIMBERLIN KEVIN 535 MADISON AVENUE 18TH FLOOR NEW YORK NY 10022 0 0 1 0 Warrants 0.75 2005-01-01 4 J 0 50000 A 2009-12-30 Common Stock 50000 50000 I See Note Warrants 0.75 2005-02-01 4 J 0 50000 A 2010-01-31 Common Stock 50000 50000 I See Note Warrants 0.75 2005-03-01 4 J 0 50000 A 2010-02-28 Common Stock 50000 50000 I See Note Warrants 0.75 2005-04-01 4 J 0 50000 A 2010-03-31 Common Stock 50000 50000 I Se Note Warrants 0.75 2005-05-01 4 J 0 50000 A 2010-04-30 Common Stock 50000 50000 I See Note Warrants 0.75 2005-06-01 4 J 0 50000 A 2010-05-31 Common Stock 50000 50000 I See Note Warrants were acquired as partial consideration under an agreement between the Issuer and Kevin Kimberlin Partners, L.P. ("KKP"), a Delaware limited partnership of which the Reporting Person is the general partner, pursuant to which KKP agreed to extend its guarantee of a certain demand note issued by the Issuer to Wachovia Bank, N.A. This agreement calls for an additional grant of 50,000 Warrants at the beginning of each month that the demand note is not repaid. While the Reporting Person is reporting this transaction for purposes of Section 16(a) of Securities Exchange Act of 1934 (the "Act"), the Reporting Person believes that this transaction is not subject to Section 16(b) of the Act. Warrants are currently exercisable. Holdings of KKP. The Reporting Person disclaims ownership of these securities except to the extent of his pecuniary interest therein. /s/ Kevin B. Kimberlin 2005-07-15 -----END PRIVACY-ENHANCED MESSAGE-----