UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (Right to Buy) | Â (1) | 06/20/2013 | Common Stock | 7,500 | $ 2 | D | Â |
Series A Preferred Stock | Â (2) | Â (2) | Common Stock | 1,078,657 | $ (2) | I | By corporation (3) |
Series A-2 Preferred Stock | Â (2) | Â (2) | Common Stock | 36,076 | $ (2) | I | By corporation (3) |
Series C Preferred Stock | Â (2) | Â (2) | Common Stock | 42,000 | $ (2) | I | By corporation (3) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MOORE JOHN A 120 EAGLE ROCK AVENUE, SUITE 190 EAST HANOVER, NJ 07936 |
 X |  X |  |  |
ACORN FACTOR, INC. 200 ROUTE 17 MAHWAH, NJ 07430 |
 |  X |  |  |
/s/ John A. Moore | 04/12/2007 | |
**Signature of Reporting Person | Date | |
/s/ John A. Moore for Acorn Factor, Inc. | 04/12/2007 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | Options vest over one year at a rate of one fourth every three months, which period commenced September 20, 2006. These securities owned by John A. Moore. |
(2) | The preferred stock is convertible on a 1:1 basis and converts automatically upon the consummation of issuer's initial public offering. |
(3) | Mr. Moore disclaims beneficial ownership of these securities. These securities are owned by Acorn Factor, Inc. |