4//SEC Filing
HEALTH SYSTEMS SOLUTIONS INC 4
Accession 0001181431-07-057659
CIK 0001093913operating
Filed
Sep 16, 8:00 PM ET
Accepted
Sep 17, 12:00 PM ET
Size
9.2 KB
Accession
0001181431-07-057659
Insider Transaction Report
Form 4
STANFORD INTERNATIONAL BANK LTD
10% Owner
Transactions
- Purchase
Series C Convertible Preferred Stock
2007-09-13$2.00/sh+125,000$250,000→ 4,300,000 total
Holdings
- 2,500,000
8% Convertible Debenture
Exercise: $2.00From: 2007-08-17Exp: 2011-08-17→ Series D Convertible Preferred Stock (2,500,000 underlying) - 5,396,589
Common Stock
- 625,000
Debenture Warrants to purchase common stock
Exercise: $1.00From: 2007-08-17Exp: 2012-08-17→ Common Stock (625,000 underlying)
Footnotes (3)
- [F1]Each share of Series C Convertible Preferred Stock is convertible into one-half share of the Company's common stock and is entitled to one-half vote per share.
- [F2]The Debenture is convertible, at the option of Stanford International Bank Ltd., in whole or in part, into shares of the Company's Series D Convertible Preferred Stock (the "Series D Preferred Stock"). Each share of the Series D Preferred Stock is convertible into one-half share of the Company's common stock and is entitled to one-half vote per share.
- [F3]Pursuant to the terms of the Debenture, the number of shares of Series D Preferred Stock into which the Debenture may be converted shall be determined by dividing the aggregate principal amount plus any accrued and unpaid interest thereon by the applicable conversion price; the calculation of 2,500,000 shares, therefor, assumes no interest has accrued as of the date of conversion.
Documents
Issuer
HEALTH SYSTEMS SOLUTIONS INC
CIK 0001093913
Entity typeoperating
IncorporatedNV
Related Parties
1- filerCIK 0001093913
Filing Metadata
- Form type
- 4
- Filed
- Sep 16, 8:00 PM ET
- Accepted
- Sep 17, 12:00 PM ET
- Size
- 9.2 KB