POKERTEK, INC.·4

Sep 25, 2:01 PM ET

Crawford James T III 4

4 · POKERTEK, INC. · Filed Sep 25, 2009

Insider Transaction Report

Form 4
Period: 2009-08-20
Crawford James T III
DirectorPresident10% Owner
Transactions
  • Other

    Common Stock

    2009-08-20$0.72/sh+7,710$5,5201,232,610 total(indirect: By LLC)
  • Other

    Common Stock

    2009-09-01$0.77/sh+7,151$5,5217,151 total
  • Other

    Common Stock

    2009-09-10$0.83/sh+602,410$500,000609,561 total
  • Gift

    Common Stock

    2009-09-1536,0001,196,610 total(indirect: By LLC)
  • Award

    Stock Options

    2009-09-11+137,500137,500 total
    Exercise: $0.81From: 2010-03-11Exp: 2019-09-11Common (137,500 underlying)
Footnotes (4)
  • [F1]Reporting Person elected to receive interest in the form of common stock at a 13% annual interest rate pursuant to a formula on $500,000 of indebtedness owed by PokerTek. The stock was valued at $0.716 per share under the formula.
  • [F2]Shares are owned of record by Crawford Ventures, LLC, for which voting and investment power is held by James T. Crawford, III. Mr. Crawford disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
  • [F3]Reporting Person elected to receive interest in the form of common stock at a 13% annual interest rate pursuant to a formula on $500,000 of indebtedness owed by PokerTek. The stock was valued at $0.772 per share under the formula.
  • [F4]Reporting Person converted $500,000 of indebtedness of PokerTek, Inc. into 602,410 shares of restricted common stock at a conversion price of $0.83 per share.

Documents

1 file
  • 4
    a6059054_ex.xmlPrimary