|4Sep 21, 9:53 PM ET

DONENFELD ALAN P 4

4 · PREVENTION INSURANCE COM INC · Filed Sep 21, 2011

Insider Transaction Report

Form 4
Period: 2011-09-19
DONENFELD ALAN P
DirectorPresident and Secretary10% Owner
Transactions
  • Exercise of In-Money

    Warrants

    2011-09-19200,000400,000 total(indirect: By Partnership)
    Exercise: $0.50From: 2010-06-04Exp: 2013-06-04Common Stock (200,000 underlying)
  • Exercise of In-Money

    Warrants

    2011-09-19150,0001,500,000 total
    Exercise: $0.50From: 2009-01-28Exp: 2012-01-28Common Stock (150,000 underlying)
  • Exercise of In-Money

    Warrants

    2011-09-19200,000200,000 total
    Exercise: $0.50From: 2010-11-04Exp: 2013-11-04Common Stock (200,000 underlying)
  • Exercise of In-Money

    Warrants

    2011-09-19100,0001,650,000 total(indirect: By Partnership)
    Exercise: $0.50From: 2008-10-08Exp: 2011-10-08Common Stock (100,000 underlying)
  • Exercise of In-Money

    Warrants

    2011-09-19150,0001,500,000 total(indirect: By Partnership)
    Exercise: $0.50From: 2009-01-28Exp: 2012-01-28Common Stock (150,000 underlying)
  • Exercise of In-Money

    Warrants

    2011-09-19200,000200,000 total(indirect: By Partnership)
    Exercise: $0.50From: 2010-11-04Exp: 2013-11-04Common Stock (200,000 underlying)
  • Exercise of In-Money

    Warrants

    2011-09-19100,0001,650,000 total
    Exercise: $0.50From: 2008-10-08Exp: 2011-10-08Common Stock (100,000 underlying)
  • Exercise of In-Money

    Warrants

    2011-09-19200,000400,000 total
    Exercise: $0.50From: 2010-06-04Exp: 2013-06-04Common Stock (200,000 underlying)
  • Exercise of In-Money

    Common Stock

    2011-09-19$0.50/sh+1,395,000$697,5002,109,286 total
  • Exercise of In-Money

    Warrants

    2011-09-19150,0001,350,000 total(indirect: By Partnership)
    Exercise: $0.50From: 2009-05-29Exp: 2012-05-29Common Stock (150,000 underlying)
  • Exercise of In-Money

    Warrants

    2011-09-19150,0001,350,000 total
    Exercise: $0.50From: 2009-05-29Exp: 2012-05-29Common Stock (150,000 underlying)
  • Exercise of In-Money

    Common Stock par value $0.0001 per share(the "Common Stock")

    2011-09-19$0.50/sh+1,395,000$697,5002,109,286 total(indirect: By Partnership)
  • Exercise of In-Money

    Warrants

    2011-09-19750,000600,000 total(indirect: By Partnership)
    Exercise: $0.50From: 2009-12-31Exp: 2012-12-31Common Stock (750,000 underlying)
  • Exercise of In-Money

    Warrants

    2011-09-19750,000600,000 total
    Exercise: $0.50From: 2009-12-31Exp: 2012-12-31Common Stock (750,000 underlying)
Footnotes (4)
  • [F1]On September 19, 2011, Paragon Capital LP ("Paragon") exercised a series of warrants to purchase an aggregate of 1,550,000 shares of Common Stock of the Issuer pursuant to a cashless exercise provision whereby the aggregate number of shares issued upon the exercise of the warrants was 1,395,000. Such number of shares issued was determined based on the following formula: net number = [(total number of warrant shares X closing sale price of the shares of Common Stock on the date immediately preceding the date of the exercise) - (total number of warrant shares X exercise price)] / closing sale price of the shares of Common Stock on the date immediately preceding the date of the exercise. The exercise price at the time of the exercise was $0.50 per share.
  • [F2]Alan Donenfeld is the Managing Member of Paragon Capital Advisors LLC which is the General Parnter of Paragon and therefore may be deemed to beneficially own the securities owned of record by Paragon.
  • [F3]Represents the securites of the Issuer owned of record by Paragon and owned beneficially by Alan Donenfeld.
  • [F4]N/A

Documents

1 file
  • 4
    f4092111paragon_prevention.xmlPrimary

    OWNERSHIP DOCUMENT