EYI INDUSTRIES INC 5

5 · EYI INDUSTRIES INC · Filed Feb 14, 2005

Form 5

Period: 2004-12-31

DirectorPresident10% Owner

Transactions

Award
non qualifed stock options
2004-09-30$0.11/sh+1,000,000$110,000→ 3,999,750 total
Exercise: $0.11From: 2004-09-30Exp: 2006-09-30→ common stock (1,000,000 underlying)
Award
non qualified stock options
2004-04-30$0.19/sh+3,200,000$608,000→ 3,999,750 total
Exercise: $0.19From: 2004-04-30Exp: 2006-04-30→ common stock (3,200,000 underlying)
Other
non qualifed stock options
2004-12-27$0.08/sh+3,200,000$256,000→ 3,999,750 total
Exercise: $0.08From: 2004-12-27Exp: 2006-12-27→ common stock (3,200,000 underlying)
Other
non qualified stock options
2004-12-27$0.19/sh−3,200,000$608,000→ 3,999,750 total
Exercise: $0.19From: 2004-04-30Exp: 2006-04-30→ common stock (3,200,000 underlying)
Award
common stock
2004-03-26$0.21/sh+47,619$10,000→ 247,869 total
Exercise/Conversion
common stock
2004-12-17$0.11/sh+200,250$22,028→ 247,869 total
Award
warrants
2004-03-26$0.30/sh+47,619$14,286→ 47,619 total
Exercise: $0.30From: 2004-03-26Exp: 2006-03-26→ common stock (47,619 underlying)
Exercise/Conversion
non qualifed stock options
2004-12-17$0.11/sh−200,250$22,028→ 3,999,750 total
Exercise: $0.11From: 2004-09-30Exp: 2006-09-30→ common stock (200,250 underlying)

Holdings

Footnotes (3)

[F1]The shares are owned by Northern Colorado, Inc. a company for which Mr. Sargeant is a principal. He may therefore be deemed to be the beneficial, if indirect, owner of 50,000 shares of the Company.
[F2]Mr. Sargeant is a named beneficiary of the Jay Sargeant Trust, and is therefore an indirect beneficial owner, with respect to 91,874,538 shares. Mr. Sargeant is also the trustee and settlor of the trust, and he has retained the right to vote and dispose of the shares and to revoke or amend the trust at any time.
[F3]3,200,000 non qualifed stock options were cancelled and reissued at $0.08.

Documents

1 file