SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
NASH JEFFREY M

(Last) (First) (Middle)
C/O PEPPERBALL TECHNOLOGIES INC
6142 NANCY RIDGE DRIVE, SUITE 101

(Street)
SAN DIEGO CA 92121

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/19/2008
3. Issuer Name and Ticker or Trading Symbol
PepperBall Technologies, Inc. [ PBAL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 312,837(1) I By the Nash Family Trust dated 3/18/80(3)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Convertible Promissory Note (2) (2) Common Stock (2) (2) I By the Nash Family Trust dated 3/18/80(3)
Explanation of Responses:
1. Reflects a 1-for-2 reverse stock split effected on September 29, 2008.
2. The note has a principal amount of $215,000, bears interest (accruing to maturity) at the rate of 10% per annum and matures on December 19, 2009. The reporting person has the right from time to time to convert all or any portion of the indebtedness owing under the Note into shares of the issuer's Common Stock at a conversion price equal to the average closing price of the issuer's Common Stock on the Nasdaq Capital Market (or such other exchange or quotation service on which the issuer's Common Stock is listed or quoted at such time, as the case may be) for the six-month period ended on the trading day immediately prior to the date the reporting person requests such conversion.
3. Jeffrey M. Nash and Kathleen L. Nash are the Trustees of the Nash Family Trust dated 3/18/80. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest in the named entity, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or any other purpose.
/s/ Jeffrey M. Nash 09/24/2008
** 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 5 (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.
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