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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrants (Right to Buy) | $ 0.1 | 05/25/2007 | D | 2,555,000 | (1) | 03/07/2015 | Common Stock | 2,555,000 | (3) | 0 | D | ||||
Employee Stock Options (Right to Buy) | $ 0.39 | 05/25/2007 | D | 500,000 | (2) | 09/21/2016 | Common Stock | 500,000 | (3) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HULTMAN JEFFREY R 5625 ARVILLE, SUITE E LAS VEGAS, NV 89118 |
X | Chairman and CEO |
JEFFREY R. HULTMAN | 06/01/2007 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The warrants were to vest upon the earlier of (i) the reporting person's separation from employment with the Company, (ii) a change of control of the Company, or (iii) December 1, 2009. |
(2) | The options vesting schedule was as follows: 1/6 as of March 21, 2007 and 1/12 each quarter thereafter. |
(3) | The options were cancelled pursuant to a Separation Agreement and General Release between Siena Technologies, Inc. and the reporting person, which was entered into in connection with the reporting person's resignation as an officer and director of the Company. |