4//SEC Filing
Heller Joseph Wendell III 4
Accession 0001145443-12-000222
CIK 0000888702other
Filed
Mar 13, 8:00 PM ET
Accepted
Mar 14, 4:18 PM ET
Size
18.8 KB
Accession
0001145443-12-000222
Insider Transaction Report
Form 4
Heller Joseph Wendell III
Director10% Owner
Transactions
- Award
Common Stock
2012-03-13+833,000→ 833,000 total
Holdings
- 50,000,000(indirect: See Footnote)
Series A Preferred Stock
→ Common Stock (50,000,000 underlying) - 50,000,000(indirect: See Footnote)
Common Stock Warrants
→ Common Stock (50,000,000 underlying)
NextLevel VIII, LLC
10% Owner
Transactions
- Award
Common Stock
2012-03-13+833,000→ 833,000 total
Holdings
- 50,000,000(indirect: See Footnote)
Common Stock Warrants
→ Common Stock (50,000,000 underlying) - 50,000,000(indirect: See Footnote)
Series A Preferred Stock
→ Common Stock (50,000,000 underlying)
Anita Kaufman Family Partnership
10% Owner
Transactions
- Award
Common Stock
2012-03-13+833,000→ 833,000 total
Holdings
- 50,000,000(indirect: See Footnote)
Common Stock Warrants
→ Common Stock (50,000,000 underlying) - 50,000,000(indirect: See Footnote)
Series A Preferred Stock
→ Common Stock (50,000,000 underlying)
AKFP-GP, LLC
10% Owner
Transactions
- Award
Common Stock
2012-03-13+833,000→ 833,000 total
Holdings
- 50,000,000(indirect: See Footnote)
Common Stock Warrants
→ Common Stock (50,000,000 underlying) - 50,000,000(indirect: See Footnote)
Series A Preferred Stock
→ Common Stock (50,000,000 underlying)
Transactions
- Award
Common Stock
2012-03-13+833,000→ 833,000 total
Holdings
- 50,000,000(indirect: See Footnote)
Series A Preferred Stock
→ Common Stock (50,000,000 underlying) - 50,000,000(indirect: See Footnote)
Common Stock Warrants
→ Common Stock (50,000,000 underlying)
Kaufman Anita
10% Owner
Transactions
- Award
Common Stock
2012-03-13+833,000→ 833,000 total
Holdings
- 50,000,000(indirect: See Footnote)
Series A Preferred Stock
→ Common Stock (50,000,000 underlying) - 50,000,000(indirect: See Footnote)
Common Stock Warrants
→ Common Stock (50,000,000 underlying)
Footnotes (5)
- [F1]These shares of Common Stock were granted to Joseph Heller as a result of his annual election as a Director of Coupon Express, Inc. (500,000 shares) and as Chairman of the Operations Committee of the Board of Directors (333,000 shares) in 2011.
- [F2]The Reported securities are owned by NextLevel VIII, LLC ("NextLevel"). Joseph Heller ("Mr. Heller") and Anita Kaufman ("Ms. Kaufman") serve as the managers of NextLevel and may be deemed to beneficially own the securities held by NextLevel. The Anita Kaufman Family Partnership, LP ("AKFP") and the Anita Kaufman NextLevel VIII Trust FBO Joseph Heller ("AK Trust") each own 50% of the membership interests of NextLevel and may be deemed to beneficially own the securities held by NextLevel. AKFP-GP, LLC ("AKFP-GP") is the general partner of AKFP and Ms. Kaufman by virtue of her position as the managing member of AKFP-GP may be deemed to beneficially own the securities held by AKFP-GP and NextLevel. Mr. Heller as a beneficiary under the AK Trust may be deemed to beneficially own the securities of AK Trust.
- [F3]The Reporting Persons disclaim beneficial ownership of the reported securities except to the extent of his, her or its pecuniary interest therein and this report shall not be deemed an admission that such Reporting Person is the beneficial owners of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose
- [F4]On October 26, 2011, the Issuer and NextLevel entered into a Cumulative Convertible Senior Note and Warrant Purchase Agreement (the "Purchase Agreement") governing the issuance of up to $1,900,000 aggregate principal amount of Cumulative Convertible Senior Notes ("Senior Notes") and Warrants. Pursuant to the terms of the Purchase Agreement, NextLevel purchased $1,000,000 of Senior Notes and Warrants.
- [F5]The Senior Notes, mature on October 24, 2012 (subject to a one-year extension at the option of the holders of a majority in principal amount of the Senior Notes), are convertible into shares of the Company's Series A Preferred Stock ("Preferred Stock") at a rate of one share of Preferred Stock for each $25,000 of Senior Notes. Each share of Preferred Stock is convertible into 1,250,000 shares of the Issuer's Common Stock, subject to certain adjustments. The Warrants are exercisable until October 24, 2016 at a price of $.04 per share (subject to certain adjustments) and entitle the holder to purchase 1,250,000 shares of the Company's Common Stock for each $25,000 of principal amount of Senior Notes.
Documents
Issuer
COUPON EXPRESS, INC.
CIK 0000888702
Entity typeother
Related Parties
1- filerCIK 0001534183
Filing Metadata
- Form type
- 4
- Filed
- Mar 13, 8:00 PM ET
- Accepted
- Mar 14, 4:18 PM ET
- Size
- 18.8 KB