-----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, EItJKWXjTaOi190vsrO27M898PqgLyBEXXhXTeOzv1iQbebyi9N+rCmouoG6C3S1 lyOnEpN7kBhKexX4wQ7uWA== 0001188112-05-000388.txt : 20050303 0001188112-05-000388.hdr.sgml : 20050303 20050303130141 ACCESSION NUMBER: 0001188112-05-000388 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050302 FILED AS OF DATE: 20050303 DATE AS OF CHANGE: 20050303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MALLYA VIJAY CENTRAL INDEX KEY: 0001048727 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13636 FILM NUMBER: 05657008 BUSINESS ADDRESS: STREET 1: 1601 AIRPORT RD CITY: UKIAH STATE: CA ZIP: 95482 BUSINESS PHONE: 707 463 6610 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MENDOCINO BREWING CO INC CENTRAL INDEX KEY: 0000919134 STANDARD INDUSTRIAL CLASSIFICATION: MALT BEVERAGES [2082] IRS NUMBER: 680318293 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 13351 S HWY 101 CITY: HOPLAND STATE: CA ZIP: 95449 BUSINESS PHONE: 7077441015 MAIL ADDRESS: STREET 1: 13351 S HWY 101 CITY: HOPLAND STATE: CA ZIP: 95449 4 1 t5124b_ex.xml X0202 4 2005-03-02 0 0000919134 MENDOCINO BREWING CO INC MENB 0001048727 MALLYA VIJAY 2400 BRIDGEWAY SUITE 290 SAUSALITO CA 94965 1 0 1 1 Chairman Convertible Note 1.50 2005-03-02 4 J 0 400000 0 A 2006-09-01 Common Stock 0 400000 I See footnote. The Issuer issued a convertible promissory note in principal amount of $400,000 to United Breweries of America, Inc. ("UBA"). Not applicable. The Reporting Person may be deemed to be the majority beneficial owner of UBA, the record holder of the Issuer's promissory note. UBA is owned by a foreign corporation, the shares of which are controlled by fiduciaries who may exercise discretion in favor of the Reporting Person amongst others. /s/ Vijay Mallya 2005-03-02 -----END PRIVACY-ENHANCED MESSAGE-----