-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Ap//3t02bJNWIxExCMLGG6TTOhxkhCLA+ug3VLiPZNnFOS6ovf468VTd9cnP3gpm TtkK5XFiLNh7LYdAORnVoA== 0000950137-06-006514.txt : 20060602 0000950137-06-006514.hdr.sgml : 20060602 20060602165748 ACCESSION NUMBER: 0000950137-06-006514 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 3 FILED AS OF DATE: 20060602 DATE AS OF CHANGE: 20060602 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: XA, INC. CENTRAL INDEX KEY: 0001132034 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] IRS NUMBER: 880471263 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-79379 FILM NUMBER: 06883888 BUSINESS ADDRESS: STREET 1: JOHN HANCOCK CENTER STREET 2: 875 NORTH MICHIGAN AVENUE, SUITE 2626 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312-397-9100 MAIL ADDRESS: STREET 1: JOHN HANCOCK CENTER STREET 2: 875 NORTH MICHIGAN AVENUE, SUITE 2626 CITY: CHICAGO STATE: IL ZIP: 60611 FORMER COMPANY: FORMER CONFORMED NAME: EXPERIENTIAL AGENCY INC DATE OF NAME CHANGE: 20040204 FORMER COMPANY: FORMER CONFORMED NAME: SYNREAL SERVICES CORP DATE OF NAME CHANGE: 20010109 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: GOLDSTIN FRANK CENTRAL INDEX KEY: 0001268568 FILING VALUES: FORM TYPE: SC 13D/A MAIL ADDRESS: STREET 1: 950 N MICHIGAN AVE 3803 CITY: CHICAGO STATE: IL ZIP: 60611 SC 13D/A 1 c05697a2sc13dza.htm AMENDMENT TO SCHEDULE 13D sc13dza
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

SCHEDULE 13D

Under the Securities Exchange Act of 1934
(Amendment No. 2 )*

XA, Inc.
(Name of Issuer)
Common Stock, par value $0.001 per share
(Title of Class of Securities)
87162D 10 2
(CUSIP Number)
Frank Goldstin
3800 North Lake Shore Drive
Chicago, Illinois 60613

with a copy to:

Brian T. May
Mayer, Brown, Rowe & Maw LLP
71 South Wacker Drive
Chicago, Illinois 60606
(312) 782-0600
(Name, Address and Telephone Number of Person Authorized to
Receive Notices and Communications)
May 23, 2006
(Date of Event Which Requires Filing of this Statement)

If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of §§240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box. o

Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See §240.13d-7 for other parties to whom copies are to be sent.

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

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.

 
 


Table of Contents

                     
CUSIP No.
 
872364Y108 

 

           
1   NAMES OF REPORTING PERSONS:

Frank Goldstin
   
  I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY):
 
 
     
2   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS):

  (a)   o 
  (b)   o 
     
3   SEC USE ONLY:
   
   
     
4   SOURCE OF FUNDS (SEE INSTRUCTIONS):
   
 
     
5   CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e):
   
  o
     
6   CITIZENSHIP OR PLACE OF ORGANIZATION:
   
  United States
       
  7   SOLE VOTING POWER:
     
NUMBER OF   414,552
       
SHARES 8   SHARED VOTING POWER:
BENEFICIALLY    
OWNED BY   N/A
       
EACH 9   SOLE DISPOSITIVE POWER:
REPORTING    
PERSON   1,503,032
       
WITH 10   SHARED DISPOSITIVE POWER:
     
    N/A
     
11   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON:
   
  1,503,032
     
12   CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS):
   
  o
     
13   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11):
   
  39.8%
     
14   TYPE OF REPORTING PERSON (SEE INSTRUCTIONS):
   
  IN

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Item 1. Security and Issuer.
Item 2. Identity and Background
Item 5. Interest in Securities of the Issuer
Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer
SIGNATURES
Leakout Agreement
Amended Leakout Agreement


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Item 1. Security and Issuer.
     This Amendment No. 2 hereby amends and supplements the statement on Schedule 13D originally filed with the Securities and Exchange Commission on December 8, 2003, as amended by Amendment No. 1 to Schedule 13D originally filed with the Securities and Exchange Commission on August 10, 2004 (the “Original Statement” and, as it may be amended hereby from time to time hereafter, the “Statement”) by Frank Goldstin with respect to the Common Stock, $0.001 par value (the “Common Stock”), of XA, Inc., a Nevada corporation (the “Issuer”). Unless otherwise indicated herein, terms used but not defined in this Amendment No. 2 shall have the respective meanings herein as are given to such terms in the Original Statement. The principal executive offices of the Issuer are located at 875 North Michigan Avenue, Suite 2626, Chicago, Illinois 60611.
Item 2. Identity and Background
(a)-(c) This Amendment No. 2 to Schedule 13D is being filed by Frank Goldstin whose address is 3800 North Lake Shore Drive, Chicago, Illinois 60613. Mr. Goldstin is the former chief executive officer and a former director of the Issuer.
(d)-(e) During the last five years, Mr. Goldstin: (i) has not been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors); and (ii) was not a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and as a result of such proceeding was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws.
(f) Mr. Goldstin is a citizen of the United States.
Item 5. Interest in Securities of the Issuer
     Item 5 of the Statement is hereby amended and restated as follows:
(a) Frank Goldstin beneficially owns 1,503,032 shares of Common Stock, $0.001 par value, of the Issuer. The shares of Common Stock beneficially owned by Mr. Goldstin constitute approximately 39.8% of the total number of shares of Common Stock of the Issuer, based upon 3,777,250 shares of Common Stock outstanding as of May 10, 2006.
(b) Mr. Goldstin has the sole power to vote or to direct the vote of 414,552 shares of Common Stock, and the sole power to dispose of 1,503,032 shares of Common Stock.
(c) Mr. Goldstin sold 10,000 shares of Common Stock for $0.43 per share on April 28, 2006 and he sold 10,000 shares of Common Stock for $0.44 per share on May 1, 2006, each as disclosed on a Form 4, Statement of Changes in Beneficial Ownership, filed with the Securities and Exchange Commission on May 1, 2006.
(d) No other person has the right to receive or the power to direct the receipt of dividends from or the proceeds from the sale of the securities beneficially owned by Mr. Goldstin.

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(e) Not applicable.
Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer
     Item 6 of the Statement is hereby amended and restated as follows:
     Mr. Goldstin is a party to a voting agreement dated July 26, 2004 with Joseph Wagner, the chief executive officer and a director of the Issuer, pursuant to which Mr. Wagner has the right to vote 544,240 shares of Common Stock held by Mr. Goldstin. Mr. Goldstin is also a party to a voting agreement dated July 26, 2004 with Jean Wilson, the chief operating officer and a director of the Issuer, pursuant to which Ms. Wilson has the right to vote 544,240 shares of Common Stock held by Mr. Goldstin. Each of these voting agreements terminates December 31, 2009.
     Mr. Goldstin and the Issuer are parties to a Leakout Agreement, dated February 17, 2005 (the “Original Leakout Agreement”), pursuant to which the Issuer and Mr. Goldstin agreed that, subject to the terms and conditions set forth therein (including certain exclusionary periods corresponding to the dates on which the Issuer’s quarterly reports and annual reports are due to be filed with the Securities and Exchange Commission), Mr. Goldstin shall be entitled to sell or otherwise transfer 10,000 shares of Common Stock each month the Original Leakout Agreement is in effect. The Original Leakout Agreement expires February 17, 2007.
     Mr. Goldstin and each of Mr. Wagner and Ms. Wilson obtained from the Issuer one share of the Issuer’s Series A Preferred Stock in December 2004. The three shares of Series A Preferred Stock of the Issuer have the right, voting in the aggregate, to vote on all shareholder matters equal to fifty-one percent (51%) of the total vote of the Common Stock of the Issuer.
     Pursuant to an agreement dated May 23, 2006, Mr. Goldstin sold his share of Series A Preferred Stock to the Issuer for $7,500. Mr. Goldstin and the Issuer also entered into an Amended Leakout Agreement, dated as of May 23, 2006 (the “Amended Leakout Agreement”), pursuant to which the Issuer and Mr. Goldstin agreed that Mr. Goldstin shall be entitled to sell or otherwise transfer 25,000 shares of Common Stock each month the Original Leakout Agreement remains in effect and that, at the request of Mr. Goldstin, the Issuer shall permit a one-time block trade of up to 250,000 shares of Common Stock, which approval shall not be unreasonably withheld.
Item 7. Material to be Filed as Exhibits
     Item 7 of the Statement is hereby amended as follows:
     Exhibit 99.1  Leakout Agreement dated as of February 17, 2005.
     Exhibit 99.2  Amended Leakout Agreement, dated as of May 23, 2006.

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SIGNATURES
          After reasonable inquiry and to the best of my knowledge and belief, the undersigned certifies that the information set forth in this Statement is true, complete and correct.
Date: June 1, 2006
     
     /s/ Frank Goldstin
 
   
Frank Goldstin, individually
   

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EX-99.1 2 c05697a2exv99w1.htm LEAKOUT AGREEMENT exv99w1
 

Exhibit 99.1
LEAKOUT AGREEMENT
     THIS LEAKOUT AGREEMENT dated as of February 17, 2005 (the “Effective Date”) (the “Agreement”), is made by and between XA, Inc., a Nevada corporation (the “Company”), and Frank Goldstin, an individual, (the “Stockholder”).
W I T N E S S E T H:
     WHEREAS, the Shareholder beneficially owns 1,633,032 restricted shares of the Company’s common stock (the “Common Stock”).
     NOW, THEREFORE, in consideration of the premises and the mutual covenants contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Company and the Stockholder hereby agree as follows:
     For $10.00 and other good and valuable consideration, the Stockholder agrees that for a period of sixty (60) days from the Effective Date of this Agreement, the Stockholder will not without the prior written consent of the Company, directly or indirectly, offer for sale, sell assign, pledge, issue, distribute, grant any option or enter into any contract for sale of or otherwise dispose of (any such action being hereafter referred to as a “Transfer”) any Common Stock.
     Stockholder further agrees that after the expiration of sixty (60) days from the Effective Date of this Agreement the Stockholder shall be entitled to Transfer ten-thousand (10,000) shares of Common Stock each month this Agreement is in effect, unless the day of such Transfer is included in an Exclusionary Period (defined below).
     Exclusionary Period. Stockholder further agrees that no Transfer will be made by Stockholder during the twenty (20) day period between May 5 and May 25, the twenty (20) day period between August 5 and August 25, the twenty (20) day period between November 5 and November 25, and the thirty-five (35) day period between March 21 and April 24, of each year that this Agreement is in effect, corresponding to dates surrounding the dates on which the Company’s quarterly reports and annual reports are due to be filed with the Securities and Exchange Commission (the “Exclusion Period”).
     In furtherance of the foregoing, the Company and its transfer agent and registrar are hereby authorized to decline to make any transfer of any security if such transfer would constitute a violation or breach of this agreement. The provisions of this agreement shall be binding on the undersigned and the assigns, heirs, and personal representatives of the undersigned and shall be for the benefit of the Company and the Stockholder.
     Term. This Agreement shall be in effect for the period of 24 months from the date of the Effective Date.

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     Effect of Facsimile and Photocopied Signatures. This Agreement may be executed in several counterparts, each of which is an original. It shall not be necessary in making proof of this Agreement or any counterpart hereof to produce or account for any of the other counterparts. A copy of this Agreement signed by one party and faxed to another party shall be deemed to have been executed and delivered by the signing party as though an original. A photocopy of this Agreement shall be effective as an original for all purposes.
     IN WITNESS WHEREOF, this Agreement has been duly executed by the undersigned this 17th day of February 2005.
         
  XA, INC.
 
 
  /s/ Joseph Wagner  
  Joseph Wagner   
  President   
 
 
  FRANK GOLDSTIN
 
 
  /s/ Frank Goldstin  
     
     
 

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EX-99.2 3 c05697a2exv99w2.htm AMENDED LEAKOUT AGREEMENT exv99w2
 

Exhibit 99.2
AMENDED LEAKOUT AGREEMENT
     THIS AMENDED LEAKOUT AGREEMENT dated as of May 23, 2006 (the “Effective Date”) (the “Agreement”), is made by and between XA, Inc., a Nevada corporation (the “Company”), and Frank Goldstin, an individual, (the “Stockholder”).
W I T N E S S E T H:
     WHEREAS, the Company and Shareholder previously entered into a Leakout Agreement in or around February 2005 (the “Prior Leakout Agreement”);
     WHEREAS, the Company and Shareholder desire to amend the terms of the Leakout Agreement and enter into this Amended Leakout Agreement which supercedes and replaces the terms of the Prior Leakout Agreement;
     WHEREAS, the Shareholder beneficially owns approximately 1,503,032 restricted shares of the Company’s common stock (the “Common Stock”) as of the date of this Agreement first written above.
     NOW, THEREFORE, in consideration of the premises and the mutual covenants contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Company and the Stockholder hereby agree as follows:
     For $10.00 and other good and valuable consideration, the Stockholder agrees that effective June 1, 2006 until February 17, 2007, the Stockholder will not without the prior written consent of the Company, directly or indirectly, offer for sale, sell assign, pledge, issue, distribute, grant any option or enter into any contract for sale of or otherwise dispose of (any such action being hereafter referred to as a “Transfer”) any Common Stock.
     Notwithstanding the foregoing, the parties agree that after June 1, 2006 until February 17, 2007, the Stockholder shall be entitled to Transfer twenty-five-thousand (25,000) shares of Common Stock each month this Agreement is in effect.
     In addition, at the request of Stockholder, the Company will approve a one time block trade of up to two hundred fifty thousand shares of its Common Stock otherwise subject to the lock-up agreement referred to above, which approval will not be unreasonably withheld.
     In furtherance of the foregoing, the Company and its transfer agent and registrar are hereby authorized to decline to make any transfer of any security if such transfer would constitute a violation or breach of this agreement. The provisions of this agreement shall be binding on the undersigned and the assigns, heirs, and personal representatives of the undersigned and shall be for the benefit of the Company and the Stockholder.
     Effect of Facsimile and Photocopied Signatures. This Agreement may be executed in several counterparts, each of which is an original. It shall not be necessary in making proof of this Agreement or any counterpart hereof to produce or account for any of the other counterparts. A copy of this Agreement signed by one party and faxed to another party shall be deemed to
Page 1 of 2
Frank Goldstin and XA, Inc.
Leakout Agreement

 


 

have been executed and delivered by the signing party as though an original. A photocopy of this Agreement shall be effective as an original for all purposes.
     IN WITNESS WHEREOF, this Agreement has been duly executed by the undersigned this 23rd day of May 2006.
         
  XA, INC.
 
 
     
  /s/ Joseph Wagner   
  Joseph Wagner   
  Chief Executive Officer   
 
     
  FRANK GOLDSTIN
 
 
     
  /s/ Frank Goldstin  
     
     
 
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Frank Goldstin and XA, Inc.
Leakout Agreement

 

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