3//SEC Filing
ESTATE OF MCCAW KEITH W 3
Accession 0001104659-04-000543
CIK 0000944136other
Filed
Jan 8, 7:00 PM ET
Accepted
Jan 9, 6:06 PM ET
Size
12.7 KB
Accession
0001104659-04-000543
Insider Transaction Report
Form 3
ESTATE OF MCCAW KEITH W
10% Owner
Holdings
- 2,000,000
Series A Preferred Stock
- (indirect: By LLC)
Convertible Note (right to buy)
From: 2004-01-09Exp: 2005-01-02→ Series A or Common Stock Option (right to buy)
Exercise: $0.01From: 2004-01-09Exp: 2023-12-01→ Common Stock (250 underlying)Warrant (right to buy)
Exercise: $0.33From: 2004-01-09Exp: 2009-11-09→ Common Stock (1,000,000 underlying)- 43,335
Common Stock
Footnotes (2)
- [F1]The Estate of Keith W. McCaw is the 100% owner of KWM Investments, LLC
- [F2]Variable. The outstanding principal balance on the $3,000,000 loan is convertible at any time into (i) Series A Preferred Stock or (ii) in the event that all outstanding Series A Preferred Stock has been converted into Common Stock, into Common Stock. The exercise price shall be the lesser of $2.50 per share or the price per share of the most recent offering of Common Stock.
Documents
Issuer
TULLYS COFFEE CORP
CIK 0000944136
Entity typeother
Related Parties
1- filerCIK 0001268196
Filing Metadata
- Form type
- 3
- Filed
- Jan 8, 7:00 PM ET
- Accepted
- Jan 9, 6:06 PM ET
- Size
- 12.7 KB