|4Jan 20, 8:23 PM ET

FAO INC 4

4 · FAO INC · Filed Jan 20, 2004

Insider Transaction Report

Form 4
Period: 2004-01-14
KAYNE FRED
Director10% Owner
Transactions
  • Sale

    Convertible Debt

    2004-01-14$1827960.00/sh1$1,827,9600 total(indirect: Sole Shareholder)
    Exercise: $1.95From: 2003-04-23Class J Convertible Preferred Stock (1,982.882 underlying)
  • Sale

    Class I Convertible Preferred Stock

    2004-01-15$2.88/sh4,000$11,5200 total
    Exercise: $1.50From: 2003-04-23Common Stock (2,666,667 underlying)
Footnotes (6)
  • [F1]Common Share equivalents and prices take into account a 1:15 reverse stock split completed on April 22, 2003.
  • [F2]Fred Kayne is the sole shareholder of Fortune Twenty-Fifth, Inc., a Nevada corporation, the record holder of the securities.
  • [F3]The securities were issued in compromise of claims through the bankruptcy of the Issuer. The sale was conducted through a private transaction.
  • [F4]The Class I Convertible Preferred Stock was acquired in a private transaction with the Issuer in connection with the Issuer's emergence from bankruptcy. The sale was accomplished through a private transaction.
  • [F5]Represents one note in the aggregate principal amount of $1,982,882. The note converts to Class J Convertible Preferred Stock at the rate of one share for every $1,000 of principal amount converted. The Class J Convertible Preferred Stock converts to Common Stock at the rate of $1.95 per common share.
  • [F6]No expiration date applies.

Documents

1 file
  • 4
    edgar.xmlPrimary

    FORM 4 -