1
|
NAME OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Barry Honig
|
|||
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
|
(a) ¨
(b) ¨
|
||
3
|
SEC USE ONLY
|
|||
4
|
CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.
|
|||
NUMBER OF SHARES
|
5
|
SOLE VOTING POWER
222,252 (1)
|
||
BENEFICIALLY
OWNED BY
|
6
|
SHARED VOTING POWER
165,933 (2)
|
||
EACH
REPORTING
|
7
|
SOLE DISPOSITIVE POWER
222,252 (1)
|
||
PERSON WITH
|
8
|
SHARED DISPOSITIVE POWER
165,933 (2)
|
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
388,185 (1) (2)
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
|
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
9.99% (Based on 3,769,885 shares outstanding as of January 21, 2014.)
|
12
|
TYPE OF REPORTING PERSON*
IN
|
(1)
|
Represents (i) 84,127 shares of common stock, (ii) 78,125 shares of common stock issuable upon conversion of 78,125 shares of Series F-1 Preferred Stock and (iii) 60,000 shares of common stock issuable upon conversion of 6,000 shares of Series D-1 Convertible Preferred Stock held by Barry Honig and excludes 2,933,030 shares of common stock issuable upon conversion of 293,303 shares of Series D-1 Convertible Preferred Stock held by Barry Honig.
|
(2)
|
Represents 165,933 shares of common stock owned by GRQ Consultants Inc. Roth 401K ("GRQ Roth 401K"), over which Barry Honig holds voting and dispositive power and excludes 264,970 shares of common stock issuable upon conversion of 26,497 shares of Series D-1 Convertible Preferred Stock held by GRQ Roth 401K; 69,240 shares of common stock issuable upon conversion of 6,924 shares of Series D-1 Convertible Preferred Stock held by GRQ Consultants Inc. 401K over which Barry Honig holds voting and dispositive power; and 69,240 shares of common stock issuable upon conversion of 6,924 shares of Series D-1 Convertible Preferred Stock held by GRQ Consultants Inc. Defined Benefit Plan, over which Barry Honig holds voting and dispositive power. The holder of Series D-1 Convertible Preferred Stock may not receive shares of the Company’s common stock such that the number of shares of common stock held by it and its affiliates after such conversion exceeds 9.99% of the then issued and outstanding shares of common stock.
|
1
|
NAME OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
GRQ Consultants Inc. Roth 401K
|
|||
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
|
(a) ¨
(b) ¨
|
||
3
|
SEC USE ONLY
|
|||
4
|
CITIZENSHIP OR PLACE OF ORGANIZATION
Florida
|
|||
NUMBER OF SHARES
|
5
|
SOLE VOTING POWER
0
|
||
BENEFICIALLY
OWNED BY
|
6
|
SHARED VOTING POWER
165,933 (1)
|
||
EACH
REPORTING
|
7
|
SOLE DISPOSITIVE POWER
0
|
||
PERSON WITH
|
8
|
SHARED DISPOSITIVE POWER
165,933 (1)
|
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
165,933 (1)
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
|
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
4.40% (Based on 3,769,885 shares outstanding as of January 21, 2014.)
|
12
|
TYPE OF REPORTING PERSON*
OO
|
(1)
|
Represents 165,933 shares of common stock owned by GRQ Consultants Inc. Roth 401K ("GRQ Roth 401K"), over which Barry Honig holds voting and dispositive power and excludes 264,970 shares of common stock issuable upon conversion of 26,497 shares of Series D-1 Convertible Preferred Stock held by GRQ Roth 401K. The holder of Series D-1 Convertible Preferred Stock may not receive shares of the Company’s common stock such that the number of shares of common stock held by it and its affiliates after such conversion exceeds 9.99% of the then issued and outstanding shares of common stock.
|
1
|
NAME OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
GRQ Consultants Inc. 401K
|
|||
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
|
(a) ¨
(b) ¨
|
||
3
|
SEC USE ONLY
|
|||
4
|
CITIZENSHIP OR PLACE OF ORGANIZATION
Florida
|
|||
NUMBER OF SHARES
|
5
|
SOLE VOTING POWER
0
|
||
BENEFICIALLY
OWNED BY
|
6
|
SHARED VOTING POWER
0 (1)
|
||
EACH
REPORTING
|
7
|
SOLE DISPOSITIVE POWER
0
|
||
PERSON WITH
|
8
|
SHARED DISPOSITIVE POWER
0 (1)
|
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0 (1)
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
|
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
0 (Based on 3,769,885 shares outstanding as of January 21, 2014.)
|
12
|
TYPE OF REPORTING PERSON*
OO
|
(1)
|
Excludes 69,240 shares of common stock issuable upon conversion of 6,924 shares of Series D-1 Convertible Preferred Stock held by GRQ Consultants Inc. 401K over which Barry Honig holds voting and dispositive power. The holder of Series D-1 Convertible Preferred Stock may not receive shares of the Company’s common stock such that the number of shares of common stock held by it and its affiliates after such conversion exceeds 9.99% of the then issued and outstanding shares of common stock.
|
1
|
NAME OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
GRQ Consultants Inc. Defined Benefit Plan
|
|||
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
|
(a) ¨
(b) ¨
|
||
3
|
SEC USE ONLY
|
|||
4
|
CITIZENSHIP OR PLACE OF ORGANIZATION
Florida
|
|||
NUMBER OF SHARES
|
5
|
SOLE VOTING POWER
0
|
||
BENEFICIALLY
OWNED BY
|
6
|
SHARED VOTING POWER
0 (1)
|
||
EACH
REPORTING
|
7
|
SOLE DISPOSITIVE POWER
0
|
||
PERSON WITH
|
8
|
SHARED DISPOSITIVE POWER
0 (1)
|
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0 (1)
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
|
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
0 (Based on 3,769,885 shares outstanding as of January 21, 2014.)
|
12
|
TYPE OF REPORTING PERSON*
OO
|
(1)
|
Excludes 69,240 shares of common stock issuable upon conversion of 6,924 shares of Series D-1 Convertible Preferred Stock held by GRQ Consultants Inc. Defined Benefit Plan, over which Barry Honig holds voting and dispositive power. The holder of Series D-1 Convertible Preferred Stock may not receive shares of the Company’s common stock such that the number of shares of common stock held by it and its affiliates after such conversion exceeds 9.99% of the then issued and outstanding shares of common stock.
|
(1)
|
Represents (i) 84,127 shares of common stock, (ii) 78,125 shares of common stock issuable upon conversion of 78,125 shares of Series F-1 Preferred Stock and (iii) 60,000 shares of common stock issuable upon conversion of 6,000 shares of Series D-1 Convertible Preferred Stock held by Barry Honig and excludes 2,933,030 shares of common stock issuable upon conversion of 293,303 shares of Series D-1 Convertible Preferred Stock held by Barry Honig.
|
(2)
|
Represents 165,933 shares of common stock owned by GRQ Consultants Inc. Roth 401K ("GRQ Roth 401K"), over which Barry Honig holds voting and dispositive power and excludes 264,970 shares of common stock issuable upon conversion of 26,497 shares of Series D-1 Convertible Preferred Stock held by GRQ Roth 401K; 69,240 shares of common stock issuable upon conversion of 6,924 shares of Series D-1 Convertible Preferred Stock held by GRQ Consultants Inc. 401K over which Barry Honig holds voting and dispositive power; and 69,240 shares of common stock issuable upon conversion of 6,924 shares of Series D-1 Convertible Preferred Stock held by GRQ Consultants Inc. Defined Benefit Plan, over which Barry Honig holds voting and dispositive power. The holder of Series D-1 Convertible Preferred Stock may not receive shares of the Company’s common stock such that the number of shares of common stock held by it and its affiliates after such conversion exceeds 9.99% of the then issued and outstanding shares of common stock.
|
Date: January 28, 2014
|
By:
|
/s/ Barry Honig
|
|
Barry Honig
|
|||
GRQ Consultants, Inc. Roth 401K FBO Barry Honig
|
|||
Date: January 28, 2014
|
/s/ Barry Honig
|
||
Barry Honig
|
GRQ Consultants, Inc. 401K
|
|||
Date: January 28, 2014
|
By:
|
/s/ Barry Honig
|
|
Barry Honig
|
|||
GRQ Consultants, Inc. Defined Benefit Plan
|
|||
Date: January 28, 2014
|
By:
|
/s/ Barry Honig
|
|
Barry Honig
|
|||