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
United States
|
NUMBER OF SHARES
|
5
|
SOLE VOTING POWER
6,469,467(1)
|
BENEFICIALLY
OWNED BY
|
6
|
SHARED VOTING POWER
6,469,467(2)
|
EACH
REPORTING
|
7
|
SOLE DISPOSITIVE POWER
6,469,467(1)
|
PERSON WITH
|
8
|
SHARED DISPOSITIVE POWER
6,469,467(2)
|
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
6,469,467(1)(2)
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
The aggregate amount in Row 9 represents the maximum amount of shares that the Reporting Persons can beneficially control under a contractually stipulated 9.99% ownership restriction as of March 25, 2013.
|
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
9.99% (3)
|
12
|
TYPE OF REPORTING PERSON*
IN
|
(1)
|
Representing the maximum amount of shares that the Reporting Persons can beneficially control under a contractually stipulated 9.99% ownership restriction as of March 25, 2013. Mr. Honig owns (i) 3,829,167 shares of common stock, (ii) 1,122,581 shares of common stock issuable upon conversion of a 5% Senior Secured Convertible Debenture at a conversion price of $0.10 and (iii) 9,381,580 shares of common stock issuable upon exercise of warrants.
|
(2)
|
Representing the maximum amount of shares that the Reporting Persons can beneficially control under a contractually stipulated 9.99% ownership restriction as of March 25, 2013. The securities are held by GRQ Consultants, Inc. 401K Plan (“GRQ 401K and include (i) 1,000,000 shares of common stock, (ii) 1,683,871 shares of common stock issuable upon conversion of a 5% Senior Secured Convertible Debenture at a conversion price of $0.10 and (iii) 15,500,000 shares of common stock issuable upon exercise of warrants
|
(3)
|
All of the Reporting Person’s debentures and warrants contain a blocker provision under which the Reporting Person can only convert his debentures or exercise his warrants to a point where he would own a maximum of 9.99% of the total shares outstanding.
|
1
|
NAME OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
GRQ Consultants, Inc. 401K 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
6,469,467(1)
|
EACH
REPORTING
|
7
|
SOLE DISPOSITIVE POWER
0
|
PERSON WITH
|
8
|
SHARED DISPOSITIVE POWER
6,469,467(1)
|
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
6,469,467(1)
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
The aggregate amount in Row 9 represents the maximum amount of shares that the Reporting Persons can beneficially control under a contractually stipulated 9.99% ownership restriction as of March 25, 2013.
|
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
9.99% (2)
|
12
|
TYPE OF REPORTING PERSON*
OO
|
(1)
|
Representing the maximum amount of shares that the Reporting Persons can beneficially control under a contractually stipulated 9.99% ownership restriction as of March 25, 2013. The securities are held by GRQ Consultants, Inc. 401K Plan (“GRQ 401K”) and include (i) 1,000,000 shares of common stock, (ii) 1,683,871 shares of common stock issuable upon conversion of a 5% Senior Secured Convertible Debenture at a conversion price of $0.10 and (iii) 15,500,000 shares of common stock issuable upon exercise of warrants
|
(2)
|
All of the Reporting Persons’ debentures and warrants contain a blocker provision under which the Reporting Persons can only convert the debentures or exercise the warrants to a point where he would own a maximum of 9.99% of the total shares outstanding.
|
(1)
|
Representing the maximum amount of shares that the Reporting Persons can beneficially control under a contractually stipulated 9.99% ownership restriction as of March 25, 2013. Mr. Honig owns (i) 3,829,167 shares of common stock, (ii) 1,122,581 shares of common stock issuable upon conversion of a 5% Senior Secured Convertible Debenture at a conversion price of $0.10 and (iii) 9,381,580 shares of common stock issuable upon exercise of warrants.
|
(2)
|
Representing the maximum amount of shares that the Reporting Persons can beneficially control under a contractually stipulated 9.99% ownership restriction as of March 25, 2013. The securities are held by GRQ Consultants, Inc. 401K Plan (“GRQ 401K”) and include (i) 1,000,000 shares of common stock, (ii) 1,683,871 shares of common stock issuable upon conversion of a 5% Senior Secured Convertible Debenture at a conversion price of $0.10 and (iii) 15,500,000 shares of common stock issuable upon exercise of warrants
|
(3)
|
All of the Reporting Persons’ debentures and warrants contain a blocker provision under which the Reporting Persons can only convert the debentures or exercise the warrants to a point where he would own a maximum of 9.99% of the total shares outstanding.
|
GRQ Consultants, Inc. 401K Plan
|
|||
Date: March 25, 2013
|
By:
|
/s/ Barry Honig
|
|
Barry Honig
|
|||
Date: March 25, 2013
|
By:
|
/s/ Barry Honig
|
|
Barry Honig
|