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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
POWER EFFICIENCY CORP [ PEFF ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 06/03/2004 | ||||||||||||||||||||||||||
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 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 | 06/03/2004 | J | 1,645,404 | D | (1) | 1,488,698 | D |
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) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A-1 Convertible Preferred Stock | (4) | 06/03/2004 | J | 1,747,587 | (2) | (3) | Common Stock | 1,453,646 | (4) | 1,581,150 | D |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. Cashless distribution to a member of Summit Energy Ventures LLC |
2. Immediately |
3. None |
4. $1.065538 / Share |
Remarks: |
In explanation of item 3 on table I and item 4 on table II, the decrease in beneficial ownership is a result of distributing assets out of Summit Energy Ventures, LLC to one of its members in connection with the retirement of such member from Summit Energy Ventures, LLC. These shares are owned directly by Summit Energy Ventures, LLC ("Summit Energy"). The securities laws deem Northwest Power Management, Inc., a Washington corporation ("Northwest Power"), and Steven Strasser ("Mr. Strasser") to be indirect beneficial owners of the shares listed on Table 1 and Table II. Summit Energy is an investment company which invests in securities and other obligations of entities. Northwest Power is a manager that provides management services exclusively to Summit Energy and Mr. Strasser is the president of Northwest Power. Neither Northwest Power nor Mr. Strasser own any shares of Power Efficiency Corporation ("Power Efficiency") and both disclaim beneficial ownership of all securities owned by Summit Energy. The address of Northwest Power and Mr. Strasser is: 3900 Paradise Road, Suite 283, Las Vegas, NV 89109. |
Summit Energy Ventures LLC By Steven Strasser President, Northwest Power Management, Inc., the Investment Manager of Summit Energy Ventures LLC | 08/04/2004 | |
Northwest Power Management, Inc. By Steven Strasser, President | 08/04/2004 | |
Steven Strasser | 08/04/2004 | |
** 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. |