-----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, DyhFxcwX0NnbISa8cGBH/1ngx4FwDOczh3ghRtrwVmiXaT698Nzcdd9P4d4l0eLH OyIWFqqM002A1sp1rrcm3g== 0001079973-09-000122.txt : 20090203 0001079973-09-000122.hdr.sgml : 20090203 20090203162703 ACCESSION NUMBER: 0001079973-09-000122 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090130 FILED AS OF DATE: 20090203 DATE AS OF CHANGE: 20090203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PepperBall Technologies, Inc. CENTRAL INDEX KEY: 0001216199 STANDARD INDUSTRIAL CLASSIFICATION: ORDNANCE & ACCESSORIES, (NO VEHICLES/GUIDED MISSILES) [3480] IRS NUMBER: 201978398 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6142 NANCY RIDGE DRIVE STREET 2: SUITE 101 CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 858-638-0236 MAIL ADDRESS: STREET 1: 6142 NANCY RIDGE DRIVE STREET 2: SUITE 101 CITY: SAN DIEGO STATE: CA ZIP: 92121 FORMER COMPANY: FORMER CONFORMED NAME: Security With Advanced Technology, Inc. DATE OF NAME CHANGE: 20061010 FORMER COMPANY: FORMER CONFORMED NAME: A4S SECURITY, INC. DATE OF NAME CHANGE: 20050602 FORMER COMPANY: FORMER CONFORMED NAME: A4S TECHNOLOGIES INC DATE OF NAME CHANGE: 20030128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PUSEY GREGORY CENTRAL INDEX KEY: 0001008071 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32566 FILM NUMBER: 09565281 BUSINESS ADDRESS: STREET 1: 1722 BUFFEHR CREEK RD CITY: VAIL STATE: CO ZIP: 81657 BUSINESS PHONE: 9704792800 MAIL ADDRESS: STREET 1: 106 S UNIVERSITY BLVD., #14 CITY: DENVER STATE: CO ZIP: 80209 4 1 pbal_pusey4ex.xml X0303 4 2009-01-30 0 0001216199 PepperBall Technologies, Inc. PBAL 0001008071 PUSEY GREGORY C/O PEPPERBALL TECHNOLOGIES INC 6142 NANCY RIDGE DRIVE, SUITE 101 SAN DIEGO CA 92121 1 1 0 0 Chairman Stock Option (Right to Buy) .10 2009-01-30 4 A 0 50000 .00 A 2019-01-30 Common Stock 50000 50000 D Options vest over a three-year period contingent upon continued affiliation with PepperBall Technologies, Inc. /s/ Gregory Pusey 2009-02-02 -----END PRIVACY-ENHANCED MESSAGE-----