-----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, QkrmTKUAuqcX47+WVUoNgJSWopH2VR6oeK2fhUPXLImdAcf1n59pzNEcQwSJA+Bt 4dDFkG+c/7S0zelHSYlOBQ== 0001179110-04-016162.txt : 20040810 0001179110-04-016162.hdr.sgml : 20040810 20040810164324 ACCESSION NUMBER: 0001179110-04-016162 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040806 FILED AS OF DATE: 20040810 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEITNER LARRY CENTRAL INDEX KEY: 0001261300 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24635 FILM NUMBER: 04964900 BUSINESS ADDRESS: STREET 1: L.Y.S&R STREET 2: 1100 GLENDON AVE. CITY: LOS ANGELES STATE: CA ZIP: 90024 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HYPERTENSION DIAGNOSTICS INC /MN CENTRAL INDEX KEY: 0001058828 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411618036 STATE OF INCORPORATION: MN FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 2915 WATERS ROAD SUITE 108 CITY: EAGAN STATE: MN ZIP: 55121-1562 BUSINESS PHONE: 6126879999 4 1 edgar.xml FORM 4 - X0202 4 2004-08-06 0 0001058828 HYPERTENSION DIAGNOSTICS INC /MN HDII 0001261300 LEITNER LARRY 2814 28TH AVENUE SW FARGO ND 58103 1 0 0 0 Common Stock 627117 D Common Stock 2004-08-06 4 C 0 203559 0.17 A 203559 D Series A Preferred Stock Common Stock 25600 25600 D Common Stock Warrant (right to buy) Common Stock 325694 325694 D Common Stock Warrant (right to buy) Common Stock 284982 284982 D Series A Preferred Stock Warrant (right to buy) Series A Preferred Stock 20480 20480 D Series A Preferred Stock Warrant (right to buy) Series A Preferred Stock 17920 17920 D Options (right to buy) Common Stock 300000 300000 D Common Stock Warrant (right to buy) 0.17 2004-08-06 4 C 0 203559 0.17 D 2004-11-09 Common Stock 407117 203559 D Series A Preferred Stock Warrant (right to buy) 2.04 2004-08-06 4 C 0 12800 2.04 D 2004-11-09 Series A Preferred Stock 25600 12800 D Series A Preferred Stock 2.04 2004-08-06 4 C 0 12800 2.04 A Common Stock 12800 12800 D Previously reported. The purchase represents reporting person's exercise of the issuer's A-1 Preferred Stock Warrant and A-2 Common Stock Warrant. See Table I. Expiration date extended to November 9, 2004; shares issued on August 6, 2004. Not applicable. /s/ Julie Stewart, by power of attorney 2004-08-09 -----END PRIVACY-ENHANCED MESSAGE-----