ULLMAN RICHARD 4
4 · MEDICAL NUTRITION USA INC · Filed Oct 24, 2003
Insider Transaction Report
Form 4
MEDICAL NUTRITION USA INCMDNU.OB
ULLMAN RICHARD
Director
Transactions
- Conversion
Common Stock
[F1]2003-07-31$0.75/sh+564,661$423,496→ 564,661 total(indirect: See footnote.) - Award
Convertible Promissory Note
[F1]2003-07-31+800,000→ 0 total(indirect: See footnote)Exercise: $0.75From: 2003-07-31Exp: 2006-07-31→ Common Stock (800,000 underlying) - Award
Warrant
[F1]2003-07-31+800,000→ 1,600,000 total(indirect: See footnote)Exercise: $0.75From: 2003-07-31Exp: 2006-07-31→ Common Stock (800,000 underlying)
Footnotes (1)
- [F1]Warrants and Common Stock issued to The Ullman Family Trust (the "Trust"). Mr. Ullman is Trustee of the Trust and is deemed to be the beneficial owner of such Warrants and Common Stock.
Signature
Richard Ullman|2003-10-24