-----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, VywFYnQxpfyUiSBeI/7Vq/zOoSv3HQ8i076vXcne1S5LhLtGTlgB+aDX7DoLwbtv wXPqV9+5VJ+Dln4jNCW/1Q== 0001179110-03-003892.txt : 20030721 0001179110-03-003892.hdr.sgml : 20030721 20030721153245 ACCESSION NUMBER: 0001179110-03-003892 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030616 FILED AS OF DATE: 20030721 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ACTIVE IQ TECHNOLOGIES INC CENTRAL INDEX KEY: 0000912875 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO & HOME SUPPLY STORES [5531] IRS NUMBER: 412004369 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 800 NICOLLET MALL STREET 2: SUITE 2690 CITY: MINNEAPOLIS STATE: MN ZIP: 55402 BUSINESS PHONE: (612)664-0570 MAIL ADDRESS: STREET 1: 601 CARLSON PARKWAY STREET 2: SUITE 1500 CITY: MINNETONKA STATE: MN ZIP: 55305 FORMER COMPANY: FORMER CONFORMED NAME: METEOR INDUSTRIES INC DATE OF NAME CHANGE: 19960313 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLS WAYNE WILLIAM CENTRAL INDEX KEY: 0000930294 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12401 FILM NUMBER: 03794614 BUSINESS ADDRESS: STREET 1: 5500 WAYZATA BLVD STREET 2: SUITE 29D CITY: PLYMOUTH STATE: MN ZIP: 55441 BUSINESS PHONE: 6125423737 MAIL ADDRESS: STREET 1: 5500 WAYZATA BLVD STREET 2: SUITW 29D CITY: PLYMOUTH STATE: MN ZIP: 55441 4 1 edgar.xml FORM 4 - X0101 4 2003-06-16 0 0000912875 ACTIVE IQ TECHNOLOGIES INC AIQT 0000930294 MILLS WAYNE WILLIAM 0 0 1 0 Common Stock, $.01 par value 2003-07-14 4 P 0 25000 0.62 A 1255900 D Stock Option 0.40 2003-06-16 4 A 0 100000 0 A 2003-06-16 2010-06-16 Common Stock, $.01 par value 100000 100000 D As previously reported, the Reporting Person also indirectly owns 30,000 shares in the name of Sea Spray, Ltd., a foreign corporation of which the Reporting Person is the sole shareholder and 368,500 shares through Blake Capital LLC, a limited liability company, of which the Reporting Person is the sole shareholder. The Reporting Person's spouse owns 150,000 shares. Issued under the 1999 Stock Option Plan. The Reporting Person also owns (a) Warrants to purchase 90,000 shares at $5.50 per share (expiring on 1/31/06); (b) Warrants to purchase 208,334 shares at $5.50 (expiring on 4/30/06); and (c) Warrants to purchase 100,000 shares at $2.50 (expiring on 5/15/05). In addition, the Reporting Person owns the following warrants indirectly through Blake Capital, LLC: (a) Warrants to purchase 500,000 shares at 3.00 (expiring on 5/1/06); (b) Warrants to purchase 15,000 shares at $7.50 (expiring on 11/28/03); and Warrants to purchase 25,000 shares at $3.00 (expiring on 3/29/07). /s/ Wayne W. Mills 2003-07-21 -----END PRIVACY-ENHANCED MESSAGE-----