-----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, QiphTxiR0JL1iPrs0edzUClF4CKo6JDNQmZay5GRD0bYE0ccJR3lC35nA+751Zcw dYheWi0dvTyV8ag3lBnLOA== 0001082504-05-000059.txt : 20050720 0001082504-05-000059.hdr.sgml : 20050720 20050720103736 ACCESSION NUMBER: 0001082504-05-000059 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050718 FILED AS OF DATE: 20050720 DATE AS OF CHANGE: 20050720 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vyteris Holdings (Nevada), Inc. CENTRAL INDEX KEY: 0001139950 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 841394211 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1390 SOUTH 1100 EAST SUITE 204 CITY: SALT LAKE CITY STATE: UT ZIP: 84105-2463 BUSINESS PHONE: 2017032299 MAIL ADDRESS: STREET 1: 13-01 POLLITT DRIVE CITY: FAIR LAWN STATE: NJ ZIP: 07410 FORMER COMPANY: FORMER CONFORMED NAME: TREASURE MOUNTAIN HOLDINGS INC DATE OF NAME CHANGE: 20010503 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: 000-32741 FILM NUMBER: 05963061 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 2005-07-18 0 0001139950 Vyteris Holdings (Nevada), Inc. VYHN 0000904841 KIMBERLIN KEVIN 535 MADISON AVENUE 18TH FLOOR NEW YORK NY 10022 0 0 1 0 11.5% Senior Secured Note Maturing 09/16/2005 2005-07-18 4 P 0 200000 200000 A 200000 I See Note Warrants 4 2005-07-18 4 P 0 2500 A 2005-07-18 2010-07-18 Common Stock 2500 2500 I See Note Represents the dollar amounts of the Note. The Note, by itself, is not an equity security (as it is not convertible) but has been provided in Table I of this Form 4 because it was issued in connection with the warrants listed in Table II, which are subject to the filing requirements of Section 16(a) of the Securities Exchange Act of 1934. Holdings of Spencer Trask Specialty Group, LLC, a Delaware limited liability company, of which the Reporting Person is the non-member manager and indirectly the principal owner. Warrants were received in partial consideration for the extension of credit to the Issuer under a working capital credit facility (the "Credit Facility"). Under the terms of the Credit Facility: additional warrants will be issued if the outstanding balance of the Note under the Credit Facility is not repaid in full before August 17, 2005; and additional warrants will be issued and the exercise price of the warrants will be adjusted to $3.58 per share if the outstanding balance of the Note under the Credit Facility is not repaid in full on or before September 16, 2005. /s/ Kevin B. Kimberlin 2005-07-18 -----END PRIVACY-ENHANCED MESSAGE-----