FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL 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). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
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Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ELEPHANT TALK COMMUNICATIONS INC [ ETLK ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2007 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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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) | 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 at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock, no par value | 12/28/2006 | P4 | 8,733,333(1)(7) | A | $0.0375 | 8,733,333 | I | See Footnote(1) | |||||||
Common Stock, no par value | 10/30/2006 | A4 | 258,546,313(2) | A | (3) | 454,493,708(4) | I | See Footnote(2) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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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) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Convertible Promissory Note | $0.035 | (5) | (5) | Common Stock | 100,000,000 | 1 | I | See Footnote(8) | ||||||
Convertible Promissory Note | $0.07 | (6) | (6) | Common Stock | 38,005,871 | 1 | I | See Footnote(8) |
Explanation of Responses: |
1. These securities were purchased by Amelia & Associates SA, a company registered in Luxenbourg. The Reporting Person may be deemed to share beneficial ownership of the shares held by Amelia & associates SA by virtue of his status as the holder of one third of the outstanding capital stock of this entity. |
2. These securities were awarded to Rising Water Capital A.G. ("RWC"), a company registered in Zug, Switzerland, pursuant to a Settlement Agreement dated October 30, 2006 between RWC and the Registrant. The Reporting Person may be deemed to share beneficial ownership of the shares held by RWC by virtue of his status as a holder of 6.2% of the outstanding capital stock of QAT Investments SA ("QAT"), which owns 51% of the outstanding capital stock of RWC. The Reporting Person disclaims beneficial ownership of such securities, except to the extent of his pecuniary interest therein, if any. |
3. The Securities were awarded to RWC as part of Settlement Agreement and for no additional consideration. |
4. Due to the Registrant's lack of authorized shares of common stock, of the 454,493,708 shares of common stock beneficially owned by RWC, only 100,000,000 have been issued as of the date of this report. |
5. This $3,500,000 principal amount (excluding accrued interest) Convertible Promissory Note has a term of 30 months from December 15, 2005, and is convertible during the term at the demand of RWC, in whole or in part, into common stock subject to the availability of authorized shares of common stock. The Reporting Person may be deemed to share beneficial ownership of the shares held by RWC by virtue of his status as a holder of 6.2% of the outstanding capital stock of QAT which owns 51% of the outstanding capital stock of RWC. The Reporting Person disclaims beneficial ownership of such securities, except to the extent of his pecuniary interest therein, if any. |
6. This $2,660,410.90 principal amount (excluding accrued interest) Convertible Promissory Note has a term of 30 months from May 26, 2006, and is convertible during the term at the demand of RWC, in whole or in part, into common stock subject to the availability of authorized shares of common stock. The Reporting Person may be deemed to share beneficial ownership of the shares held by RWC by virtue of his status as a holder of 6.2% of the outstanding capital stock of QAT which owns 51% of the outstanding capital stock of RWC. The Reporting Person disclaims beneficial ownership of such securities, except to the extent of his pecuniary interest therein, if any. |
7. Due to the Registrant's lack of authorized shares of common stock, these securities have not yet been issued to the Reporting Person. |
8. The Reporting Person may be deemed to share beneficial ownership of the shares held by RWC by virtue of his status as a holder of 6.2% of the outstanding capital stock of QAT which owns 51% of the outstanding capital stock of RWC. The Reporting Person disclaims beneficial ownership of such securities, except to the extent of his pecuniary interest therein, if any. |
/s/ Yves van Sante | 02/19/2008 | |
** 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |