SEC Form 5/A · accession 0001079974-16-000932
SEYCHELLE ENVIRONMENTAL TECHNOLOGIES INC /CA · SYEV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 5/A). It replaces an earlier filing for the same period.
Reporting owner
IRREVOCABLE TRUST The TAM
10% Owner
Period of report
Feb 29, 2008
Accepted (ET)
Jan 15, 2016 · 4:55 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001056757
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $0.001 par value per shareF1 | holding | — | — | — | 10,240,578 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants | $0.225 | Mar 29, 2005 | P | 500,000 | A | Dec 1, 2006 | Dec 1, 2010 | Common | 500,000 | 500,000 | D |
| Warrants | $0.225 | Jul 27, 2005 | P | 2,000,000 | A | Dec 1, 2006 | Dec 1, 2010 | Common | 2,000,000 | 2,000,000 | D |
| Warrants | $0.19 | Dec 19, 2007 | P | 250,000 | A | Dec 1, 2008 | Dec 1, 2010 | Common | 250,000 | 250,000 | D |
| Warrants | $0.19 | Jan 24, 2008 | P | 107,221 | A | Dec 1, 2008 | Dec 1, 2010 | Common | 107,221 | 107,221 | D |
Explanation of responses
- F1The TAM Irrevocable Trust is an irrevocable trust for the benefit of certain family members of Mr. Carl Palmer. Mr. Palmer disclaims any beneficial ownership or interest in this Trust. Cari Beck, his daughter, is the Trustee of the Trust and has total beneficiary rights, including all voting rights and investment power as the Trustee. The Trust is held in her name (50%) as well as that of Lindsay Helvey (25%) and Casey Helvey (25%), both granddaughters.