OxySure Systems Inc·5

Feb 13, 12:53 PM ET

Reed Donald T 5

5 · OxySure Systems Inc · Filed Feb 13, 2012

Insider Transaction Report

Form 5
Period: 2011-12-31
Transactions
  • Expiration (Short)

    Options (Right to buy)

    2011-12-312,0000 total
    Exercise: $2.00From: 2006-12-31Exp: 2011-12-31Common Shares (2,000 underlying)
Holdings
  • Convertible Securities

    (indirect: By LLC)
    Exercise: $1.50From: 2008-04-15Exp: 2013-04-15Common Shares (500,000 underlying)
    500,000
  • Options (Right to buy)

    Exercise: $2.00From: 2008-12-31Exp: 2013-12-31Common Shares (5,000 underlying)
    5,000
  • Convertible Preferred Stock

    (indirect: By LLC)
    Exercise: $0.82From: 2006-01-31Common Shares (1,220,000 underlying)
    1,000,000
  • Common Stock

    (indirect: By Spouse)
    120,000
  • Common Stock

    (indirect: By LLC)
    720,000
  • Warrants

    (indirect: By LLC)
    Exercise: $0.01From: 2008-04-15Exp: 2013-04-15Common Shares (350,000 underlying)
    350,000
Footnotes (3)
  • [F1]Subordinated convertible promissory note. The Holder has the right to convert the note into common stock.
  • [F2]Modified maturity date of the note, per that certain modification dated November 14, 2011.
  • [F3]N/A

Documents

1 file
  • 5
    v302231_5.xmlPrimary

    OWNERSHIP DOCUMENT