SCURLOCK ARCH C 5/A

5/A · HALIFAX CORP · Filed Aug 30, 2005

Form 5/AAmended

Period: 2004-10-18

Director

Transactions

Purchase
COMMON STOCK
1994-01-04$8.50/sh+17,505$148,793→ 17,505 total
Will/Inheritance
COMMON STOCK
2004-10-18+65,493→ 82,998 total(indirect: By Trust)
Will/Inheritance
7% HALIFAX CONVERTIBLE DEBENTURE DUE 07/01/2007
2004-10-18+10,449→ 10,449 total(indirect: By Trust)
Exercise: $3.19From: 2004-10-18Exp: 2007-07-01→ HALIFAX COMMON STOCK (10,449 underlying)

Footnotes (4)

[F1]THE REPORTING PERSON IS REPORTING THE AMOUNT OF THE COMMON STOCK AND THE NUMBER OF SHARES PROPORTIONATE TO THE REPORTING PERSON'S INTEREST IN THE ARCH C. SCURLOCK CHILDREN'S TRUST. THE REPORTING PERSON DISCLAIMS BENEFICIAL OWNERSHIP OF THESE SECURITIES, AND THIS REPORT SHALL NOT BE DEEMED AN ADMISSION THAT THE REPORTING PERSON IS THE BENEFICIAL OWNER OF SUCH SECURITIES FOR PURPOSES OF SECTION 16 OR FOR ANY OTHER PURPOSE.
[F2]THE DEBENTURE WAS PAID OFF IN JULY 2005. THEREFORE, IT IS NO LONGER CONVERTIBLE INTO SHARES OF COMMON STOCK.
[F3]THE REPORTING PERSON IS REPORTING THE AMOUNT OF THE CONVERTIBLE NOTE AND THE NUMBER OF SHARES PROPORTIONATE TO THE REPORTING PERSON'S INTEREST IN THE ARCH C. SCURLOCK CHILDREN'S TRUST. THE REPORTING PERSON DISCLAIMS BENEFICIAL OWNERSHIP OF THESE SECURITIES, AND THIS REPORT SHALL NOT BE DEEMED AN ADMISSION THAT THE REPORTING PERSON IS THE BENEFICIAL OWNER OF SUCH SECURITIES FOR PURPOSES OF SECTION 16 OR FOR ANY OTHER PURPOSE. VALUE OF SUBORDINATED DEBT ATTRIBUTABLE TO REPORTING PERSON WAS $33,333.
[F4]N/A

Documents

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