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QI SYSTEMS INC·4

Oct 4, 6:22 PM ET

QI SYSTEMS INC 4

4 · QI SYSTEMS INC · Filed Oct 4, 2006

Insider Transaction Report

Form 4
Period: 2006-10-03
QI SYSTEMS INCQIII
Garman Steven R
DirectorPresident and CEO
Transactions
  • Other

    Common Stock, $.001 par value

    2006-10-03+194,588→ 194,588 total
  • Other

    Warrants

    2006-10-03+194,588→ 194,588 total
    Exercise: $0.20From: 2006-10-03Exp: 2008-10-03→ Common Stock, $.001 par value (194,588 underlying)
Holdings

  • Stock Option

    Exercise: $0.15From: 2004-12-31Exp: 2009-12-31→ Common Stock, $.001 par value (33,000 underlying)
    33,000

  • Stock Option

    (indirect: True Horizon Marketing, Inc.)
    Exercise: $0.15From: 2004-12-31Exp: 2007-12-31→ Common Stock, $.001 par value (135,000 underlying)
    135,000

  • Common Stock, $.001 par value

    (indirect: By Spouse)
    460,244
Footnotes (3)
  • [F1]The reported securities are included within 194,588 QI Systems Inc. Units (valued at $.07 per Unit) issued to the reporting person in satisfaction of a pre-existing debt obligation of $13,621 owed to the reporting person by QI Systems Inc. Each Unit consists of one share of common stock and one warrant to purchase one share of common stock.
  • [F2]Represents a right to buy.
  • [F3]The option became fully exercisable on December 31, 2005.

Documents

1 file
  • 4
    rrd132573.xmlPrimary

    4