-----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, LC/a6hoXZB9fAD9tw/gOvZ8FghwuyT4e4uHxG9somGh3z2wHCGvuOctGV3xQgh4O I/V6y2McWhDGoa7qoi7+6Q== 0000893750-04-000446.txt : 20040825 0000893750-04-000446.hdr.sgml : 20040825 20040825154657 ACCESSION NUMBER: 0000893750-04-000446 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040607 FILED AS OF DATE: 20040825 DATE AS OF CHANGE: 20040825 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Belamant Serge CENTRAL INDEX KEY: 0001301354 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31203 FILM NUMBER: 04996459 BUSINESS ADDRESS: BUSINESS PHONE: 27113432000 MAIL ADDRESS: STREET 1: 4TH FLOOR, NORTH WING, PRESIDENT PLACE STREET 2: CNR JAN SMUTS AVENUE, ROSEBANK CITY: JOHANNESBURG STATE: T3 ZIP: RSA ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NET 1 UEPS TECHNOLOGIES INC CENTRAL INDEX KEY: 0001041514 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 650903895 STATE OF INCORPORATION: FL FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 507-700 WEST PENDER ST STREET 2: VANCOUVER BRITISH COLUMBIA CITY: CANADA V6C 1G8 STATE: A1 ZIP: 00000 BUSINESS PHONE: 8887962233 MAIL ADDRESS: STREET 1: 507-700 WEST PENDER ST STREET 2: VANCOUVER BRITISH COLUMBIA CITY: CANADA V6C 1G8 STATE: A1 ZIP: 00000 4 1 serge_ex.xml X0202 4 2004-06-07 0 0001041514 NET 1 UEPS TECHNOLOGIES INC NUEP.OB 0001301354 Belamant Serge 4TH FLOOR, NORTH WING, PRESIDENT PLACE CNR JAN SMUTS AVENUE, ROSEBANK JOHANNESBURG T3 RSA SOUTH AFRICA 1 1 1 0 Chief Executive Officer Special Convertible Preferred Stock 2004-06-07 4 J 0 11593671 D 2004-06-30 2004-06-30 Common Stock, par value $0.001 per share 11593671 11593671 I By the Aplitec Holdings Participation Trust Stock Incentive Plan 0.0 2004-06-07 4 J 0 2000000 D 2014-06-07 Common Stock, par value $0.001 per share 2000000 2000000 D Stock Incentive Plan 0.50 2004-06-07 4 J 0 500000 D 2015-06-07 Common Stock, par value $0.001 per share 500000 500000 D Dr. Belamant received the shares of Special Convertible Preferred Stock in exchange offer for shares of common stock of Net 1 Applied Technology Holdings Limited The shares of Special Convertible Preferred Stock are held by The Aplitec Holdings Participation Trust for the benefit of Dr. Belamant and are convertible, on a one-for-one basis, into shares of common stock of Net 1 UEPS Technologies, Inc. at the discretion of Dr. Belamant. The options are exercisable in five equal annual installments beginning on June 7, 2004. The options are exercisable in five equal annual installments beginning on June 7, 2005. The stock opton was granted in connection with the acquisition of Net 1 Applied Technologies South Africa Limited on June 7, 2004. None /s/ Serge Belamant 2004-08-16 -----END PRIVACY-ENHANCED MESSAGE-----