Statement of Changes in Beneficial Ownership (4)
July 23 2014 - 5:30PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
LEIGHTON DOUGLAS
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2. Issuer Name
and
Ticker or Trading Symbol
Brazil Interactive Media, Inc.
[
BIMI
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
50 COMMONWEALTH AVENUE, SUITE 2
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3. Date of Earliest Transaction
(MM/DD/YYYY)
3/11/2013
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(Street)
BOSTON, MA 02116
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Series A Common Stock
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3/11/2013
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J
(1)
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19000000
(2)
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D
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(1)
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0
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I
(3)
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See footnote
(3)
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Common Stock
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3/11/2013
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J
(1)
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19000000
(2)
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A
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(1)
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416000000
(2)
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I
(3)
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See footnote
(3)
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Common Stock
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3/11/2013
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J
(4)
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4152295
(2)
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A
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(4)
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$420152295
(2)
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I
(3)
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See footnote
(3)
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Common Stock
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5/14/2013
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J
(5)
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1875000
(2)
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A
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(5)
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$422027095
(2)
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I
(3)
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See footnote
(3)
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Common Stock
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7/25/2013
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J
(6)
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1950260
(7)
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A
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(6)
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$2000004
(7)
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I
(3)
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See footnote
(3)
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Common Stock
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10/1/2013
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J
(8)
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800000
(7)
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A
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(8)
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2800004
(7)
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I
(3)
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See footnote
(3)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Series E Convertible Preferred Stock
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(4)
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3/11/2013
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J
(4)
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3115
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3/23/2008
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(13)
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Common Stock
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4152295
(2)
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$0
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0
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I
(3)
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See footnote
(3)
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Series G Convertible Preferred Stock
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(6)
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3/11/2013
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J
(9)
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195026
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(6)
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(6)
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Common Stock
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1950260
(7)
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(9)
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195026
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I
(3)
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See footnote
(3)
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Series H Convertible Preferred Stock
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$0.30
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3/22/2013
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P
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2000
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3/23/2013
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(13)
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Common Stock
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666667
(7)
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$100
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2000
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I
(3)
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See footnote
(3)
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Warrants
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$0.60
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3/22/2013
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J
(10)
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166667
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3/23/2013
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3/22/2018
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Common Stock
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166667
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(10)
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166667
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I
(3)
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See footnote
(3)
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Series C Convertible Preferred Stock
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(5)
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5/14/2013
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J
(5)
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75
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5/9/2008
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(13)
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Common Stock
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1875000
(2)
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$0
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0
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I
(3)
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See footnote
(3)
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Series G Convertible Preferred Stock
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(6)
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7/25/2013
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J
(6)
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195026
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(6)
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(6)
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Common Stock
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1950260
(7)
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$0
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0
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I
(3)
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See footnote
(3)
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Warrants
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$0.60
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10/9/2013
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J
(11)
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8333
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10/9/2013
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10/9/2018
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Common Stock
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8333
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(11)
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8333
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D
(12)
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Explanation of Responses:
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(
1)
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Pursuant to a reclassification exempt under Rule 16b-7, all shares of Series A Common Stock were converted by the issuer into common stock at a ratio of 1 share of common stock for each share of Series A Common Stock.
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(
2)
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On May 16, 2013, the issuer effected a reverse split of its shares at a ratio of 8,484 to 1 and changed its name from Naturewell, Incorporated to Brazil Interactive Media, Inc.
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(
3)
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The securities are directly beneficially owned by Dutchess Opportunity Fund II LP. The reporting person is a director of Dutchess Opportunity Fund II LP and therefore may be considered an indirect beneficial owner of the securities reported herein. The reporting person disclaims beneficial ownership of the securities directly beneficially owned by Dutchess Opportunity Fund II LP except to the extent of his pecuniary interest therein.
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(
4)
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Pursuant to a reclassification exempt under Rule 16b-7, all shares of Series E Convertible Preferred Stock were converted by the issuer into common stock at a ratio of 1,333 shares of common stock for each share of Series E Convertible Preferred Stock.
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(
5)
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Pursuant to a reclassification exempt under Rule 16b-7, all shares of Series C Convertible Preferred Stock were converted by the issuer into common stock at a ratio of 25,000 shares of common stock for each share of Series C Convertible Preferred Stock.
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(
6)
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All shares of Series G Convertible Preferred Stock were subject to an automatic forced conversion at a ratio of 10 post-reverse split shares of common stock for each share of Series G Convertible Preferred Stock, one business day following the date that a sufficient number of authorized and unissued shares of common stock became available to facilitate conversion. By operation of the reverse stock split on May 16, 2013, sufficient shares of common stock became available, triggering the automatic conversion, and the shares were issued on July 25, 2013.
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(
7)
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Post-reverse split shares (see footnote 2).
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(
8)
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The Common Stock was acquired from the issuer in return for services provided to the Company, at a value of $0.56 per share.
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(
9)
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Pursuant to a reclassification exempt under Rule 16b-7, the issuer exchanged all Senior Subordinated Notes into Series G Convertible Preferred Stock at a ratio of $15.77 per share.
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(
10)
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The warrants were included in the purchase of the Series H Preferred Stock. No additional consideration was paid for the warrants.
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(
11)
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The warrants were issued in connection with a promissory note entered into between the issuer and the reporting person on October 9, 2013. No additional consideration was paid for the warrants.
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(
12)
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These shares are held in the name of Bass Point Capital LLC, a private investment vehicle the investments in which are beneficially owned solely by the reporting person.
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(
13)
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The securities had no expiration date.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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LEIGHTON DOUGLAS
50 COMMONWEALTH AVENUE
SUITE 2
BOSTON, MA 02116
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X
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X
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Signatures
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/s/ Douglas Leighton
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7/23/2014
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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