MEDIABAY INC·4

May 26, 6:19 PM ET

N HERRICK IRREVOCABLE ABC TRUST 4

4 · MEDIABAY INC · Filed May 26, 2004

Insider Transaction Report

Form 4Exit
Period: 2004-05-25
Transactions
  • Other

    Common Stock

    [F1]
    2004-05-252,964,1800 total
  • Other

    Convertible Senior Subordinated Note Due September 30, 2007

    [F1]
    2004-05-250 total
    Exercise: $0.56From: 2002-10-03Exp: 2007-09-30Common Stock (892,857 underlying)
  • Other

    Series A Convertible Preferred Stock

    [F1][F2]
    2004-05-2525,0000 total
    Exercise: $0.56Common Stock (4,464,285 underlying)
Footnotes (2)
  • [F1]On May 25, 2004, the N. Herrick Irrevocable ABC Trust ("Trust") distributed 2,964,180 shares of Common Stock of the Issuer to Norton Herrick, the beneficiary of the Trust. On May 25, 2004, the Trust also distributed to Norton Herrick, the beneficiary of the Trust, the $500,000 Convertible Senior Subordinated Note Due September 30, 2007 (the "Trust Note"), which is convertible into 892,857 shares of Common Stock, and 25,000 shares of Series A Convertible Preferred Stock ("Series A Preferred Stock"), which is convertible into 4,464,285 shares of Common Stock.
  • [F2]The Series A Preferred Stock is convertible immediately and has no expiration date.
Signature
/s/ Howard Herrick, as Trustee|2004-05-25

Documents

1 file
  • 4
    v03715_ex.xmlPrimary