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BEAMZ INTERACTIVE INC 4

Accession 0001118491-14-000001

CIK 0001423357operating

Filed

Feb 24, 7:00 PM ET

Accepted

Feb 25, 6:59 PM ET

Size

25.7 KB

Accession

0001118491-14-000001

Insider Transaction Report

Form 4
Period: 2014-02-21
MOLLO CHARLES R
DirectorChief Executive Officer10% Owner
Transactions
  • Other

    Warrants

    2014-02-21+102,055102,055 total(indirect: See Footnote 2)
    Exercise: $0.02From: 2014-02-21Exp: 2017-02-21Common Stock (102,055 underlying)
  • Other

    Convertible Secured Subordinated Promissory Note

    2014-02-21+11 total(indirect: See Footnotes 3&5)
    Exercise: $0.20From: 2014-02-21Exp: 2015-12-31Common Stock (1,013,527 underlying)
  • Other

    Warrants

    2014-02-21+51,28851,288 total(indirect: See Footnote 1)
    Exercise: $0.02From: 2014-02-21Exp: 2017-02-21Common Stock (51,288 underlying)
  • Other

    Convertible Secured Subordinated Promissory Note

    2014-02-21+11 total(indirect: See Footnote 1)
    Exercise: $0.20From: 2014-02-21Exp: 2015-12-31Common Stock (256,438 underlying)
  • Other

    Convertible Secured Subordinated Promissory Note

    2014-02-21+11 total(indirect: See Footnote 2)
    Exercise: $0.20From: 2014-02-21Exp: 2015-12-31Common Stock (510,274 underlying)
  • Other

    Warrants

    2014-02-21+1,207,4051,207,405 total(indirect: See Footnotes 4&5)
    Exercise: $0.02From: 2014-02-21Exp: 2017-02-21Common Stock (1,207,405 underlying)
  • Other

    Convertible Secured Subordinated Promissory Note

    2014-02-21+11 total(indirect: See Footnotes 4&5)
    Exercise: $0.20From: 2014-02-21Exp: 2015-12-31Common Stock (6,037,027 underlying)
  • Other

    Warrants

    2014-02-21+202,705202,705 total(indirect: See Footnotes 3&5)
    Exercise: $0.02From: 2014-02-21Exp: 2017-02-21Common Stock (202,705 underlying)
Footnotes (5)
  • [F1]Reflects the receipt by CRM-008 Trust ("CRM-008"), of which Mr. Mollo serves as trustee, of a Convertible Secured Promissory Note with a principal amount of $51,287.67 (convertible into the Issuer's Common Stock) and Warrants pursuant to an Amended and Restated 2013 Convertible Debt and Security Agreement dated 2/21/2014 (the "Note Transaction") in exchange for the conversion of the balance owed on a loan by the Issuer to CRM-008 of $51,287.67 into a loan pursuant to a Loan Conversion Agreement dated February 21, 2014.
  • [F2]Reflects the receipt by CRM Revocable Trust ("CRM Revocable"), of which Mr. Mollo serves as trustee and as a beneficiary, of a Convertible Secured Promissory Notes with a principal amount of $102,054.79 (convertible into the Issuer's Common Stock) and Warrants pursuant to the Note Transaction in exchange for the conversion of the balance owed on a loan by the Issuer to CRM Revocable of $102,054.79 into a loan pursuant to a Loan Conversion Agreement dated February 21, 2014.
  • [F3]Reflects the receipt by TM-07 Investments, LLC ("TM-07"), 100% of the ownership interests in which Mr. Mollo indirectly beneficially owns, of a Convertible Secured Promissory Notes with a principal amount of $202,705.47 (convertible into the Issuer's Common Stock) and Warrants pursuant to the Note Transaction in exchange for the conversion of the balance owed on a loan by the Issuer to TM-07 of $202,705.47 into a loan pursuant to a Loan Conversion Agreement dated February 21, 2014.
  • [F4]Reflects the receipt by TM-07 of a Convertible Secured Promissory Notes with a principal amount of $1,207,405.46 (convertible into the Issuer's Common Stock) and Warrants pursuant to the Note Transaction in exchange for the conversion of a receivable of $1,207,405.46 owed by the Issuer to TM-07 into a loan pursuant to a Payable Conversion Agreement dated February 21, 2014.
  • [F5]TM-07, which is also reporting its ownership on this Form 4, does not beneficially own the securities owned by CRM-008 or CRM Revocable and instead only beneficially owns such warrants and other derivative securities as it is listed as owning on Table II of this Form 4 or any other beneficial ownership form filed with the SEC.

Issuer

BEAMZ INTERACTIVE INC

CIK 0001423357

Entity typeoperating
IncorporatedDE

Related Parties

1
  • filerCIK 0001423357

Filing Metadata

Form type
4
Filed
Feb 24, 7:00 PM ET
Accepted
Feb 25, 6:59 PM ET
Size
25.7 KB