CNS RESPONSE, INC.·4

Aug 25, 1:23 PM ET

KALLINS GEORGE J 4

4 · CNS RESPONSE, INC. · Filed Aug 25, 2010

Insider Transaction Report

Form 4
Period: 2010-08-20
Transactions
  • Other

    Common Stock Warrant

    2010-08-20$0.56/sh+75,000$42,00075,000 total(indirect: N/A)
    Exercise: $0.56Exp: 2017-08-19Common Stock (75,000 underlying)
  • Other

    Common Stock Warrant

    2010-08-20$0.56/sh+75,000$42,00075,000 total(indirect: N/A)
    Exercise: $0.56Exp: 2017-08-19Common Stock (75,000 underlying)
  • Other

    Secured Promissory Note

    2010-08-20$0.50/sh+250,000$125,000250,000 total(indirect: N/A)
    Exercise: $0.50Exp: 2010-12-15Common Stock (250,000 underlying)
  • Other

    Secured Promissory Note

    2010-08-20$0.50/sh+250,000$125,000250,000 total(indirect: N/A)
    Exercise: $0.50Exp: 2010-12-15Common Stock (250,000 underlying)
Footnotes (2)
  • [F1]On August 20, 2010, the Issuer issued (i) two unsecured promissory notes (each, a "Note") in the aggregate principal amount of $250,000 and (ii) two warrants (each, a "Warrant") to purchase an aggregate of 150,000 shares of the Issuer's common stock to Deerwood Partners LLC and Deerwood Holdings LLC (collectively, the "Investors"), with each Investor purchasing a Note in the aggregate principal amount of $125,000 and receiving a Warrant to purchase 75,000 shares of the Issuer's common stock. The Reporting Person is one of the managing members of each of Deerwood Partners LLC and Deerwood Holdings LLC. At the option of the Investor, the Investor may convert all or any portion of the outstanding principal balance and/or accrued but unpaid interest on the Note at any time into that number of the Issuer's common stock equal to the quotient of the amount of principal and/or accrued interest on the Note being converted divided by $0.50.
  • [F2]Each Warrant is exercisable at any time until August 19, 2017 at the option of the Investor and the exercise price for each Warrant is $0.56 per share.

Documents

1 file
  • 4
    v195127_ex.xmlPrimary