SEC Form 4 · accession 0001104659-16-151675
AMERICAN DG ENERGY INC · ADGE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
Sep 30, 2016
Accepted (ET)
Oct 24, 2016 · 4:40 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001378706
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6% Senior Unsecured Debenture Due 2018F2,F3,F1 | $2.11 | Sep 30, 2016 | J | — | D | Sep 27, 2016 | May 25, 2018 | Common Stock | 2,020,728 | — | D |
| 6% Senior Unsecured Debenture Due 2018F4,F3,F1 | $2.11 | Sep 30, 2016 | J | — | D | Sep 27, 2016 | May 25, 2018 | Common Stock | 1,042,653 | — | D |
Explanation of responses
- F1The 6% senior unsecured debenture (the "Debenture") may be converted into shares of the Issuer's common stock at a conversion price of $2.20 per share, subject to adjustment in certain circumstances. In addition, the Issuer has the option to redeem the Debenture at 115% of the outstanding principal amount, along with any accrued but unpaid interest.
- F2The Reporting Persons exchanged an aggregate amount of $4,263,737 in principal and prepaid interest of the Debenture for an aggregate amount of 9,700,000 shares of common stock of EuroSite Power Inc. held by the Issuer at an exchange rate of $0.40 per share.
- F3The Debenture is jointly owned by Tryfon Natsis and his wife, Despoina Pantopoulou, as joint tenants with the right of survivorship.
- F4The Reporting Persons received payment in the aggregate amount of $2,200,000 from the Issuer in exchange, in part, for reducing the principal of the Debenture from $5,618,681 to $3,418,681.