SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Hershhorn Mark

(Last) (First) (Middle)
1011 CAMPUS DRIVE

(Street)
MUNDELEIN IL 60060

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Z TRIM HOLDINGS, INC [ ZTHO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
04/19/2012
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 209,566 D
Common Stock 04/19/2012 04/19/2012 C 150,979(1) A $1 360,545 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Convertible Debt $1 04/19/2012 C 20,000 11/10/2010 04/05/2012 Common Stock 20,000 $1 0 D
Convertible Debt $1 04/19/2012 C 100,000 09/02/2008 04/05/2012 Common Stock 100,000 $1 0 D
Warrants $1 09/02/2008 09/02/2013 Common Stock 24,615 24,615 D
Warrants $0.3 09/02/2008 09/02/2013 Common Stock 7,692 7,692 D
Warrants $0.01 04/21/2009 09/02/2013 Common Stock 20,833 20,833 D
Warrants $1.5 04/21/2009 04/22/2014 Common Stock 30,000 30,000 D
Warrants $1.5 11/10/2010 11/10/2015 Common Stock 30,000 30,000 D
Preferred Stock $1 01/07/2011 01/06/2013 Common Stock 15,000 15,000 D
Warrant $1.5 01/07/2011 01/06/2016 Common Stock 22,500 22,500 D
Warrant $1.5 04/08/2011 05/13/2014 Common Stock 32,328 32,328 D
Explanation of Responses:
1. Mr. Hershhorn converted his Convertible Notes plus accrued interest into shares of Common Stock.
Remarks:
/s/ Mark Hershhorn 04/20/2012
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** 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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