SEC Form 4 · accession 0001104659-16-151676
EUROSITE POWER INC. · EUSP
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
0001528103
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Sep 30, 2016 | J | 9,700,000 | — | A | 29,071,297 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants (right to buy)F3,F2 | $0.60 | Sep 30, 2016 | J | 1,020,000 | D | Jan 29, 2016 | Oct 3, 2017 | Common Stock | 1,020,000 | 0 | D |
Explanation of responses
- F1The Reporting Persons acquired 9,700,000 shares of common stock of the Issuer from American DG Energy Inc. ("ADGE") in exchange for the cancellation of an aggregate amount of $4,263,737 in principal and prepaid interest of the 6% senior unsecured convertible debenture due 2018 issued to the Reporting Persons by ADGE.
- F2The reported securities are jointly owned by Tryfon Natsis and his wife, Despoina Pantopoulou, as joint tenants with the right of survivorship.
- F3The Reporting Persons received an aggregate of $2,200,000 from the Issuer in exchange, in part, for the Reporting Persons cancelling and relinquishing warrants they held to purchase an aggregate amount of 1,020,000 shares of common stock of the Issuer from ADGE.