TULLYS COFFEE CORP·3

Jan 9, 6:06 PM ET

ESTATE OF MCCAW KEITH W 3

3 · TULLYS COFFEE CORP · Filed Jan 9, 2004

Insider Transaction Report

Form 3
Period: 2003-12-20
Holdings
  • Series A Preferred Stock

    2,000,000
  • Convertible Note (right to buy)

    (indirect: By LLC)
    From: 2004-01-09Exp: 2005-01-02Series A or Common Stock
  • Option (right to buy)

    Exercise: $0.01From: 2004-01-09Exp: 2023-12-01Common Stock (250 underlying)
  • Warrant (right to buy)

    Exercise: $0.33From: 2004-01-09Exp: 2009-11-09Common Stock (1,000,000 underlying)
  • Common Stock

    43,335
Footnotes (2)
  • [F1]The Estate of Keith W. McCaw is the 100% owner of KWM Investments, LLC
  • [F2]Variable. The outstanding principal balance on the $3,000,000 loan is convertible at any time into (i) Series A Preferred Stock or (ii) in the event that all outstanding Series A Preferred Stock has been converted into Common Stock, into Common Stock. The exercise price shall be the lesser of $2.50 per share or the price per share of the most recent offering of Common Stock.

Documents

1 file
  • 3
    a3.xmlPrimary

    3