-----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, OZHlTB4q3DU0pPU3GU4hA+I3zR8jz3N8HRcOEvYWe+1hOgQAHiIar3p3bmzABr52 r9oRqA6occD+p41Wt/tpXg== 0001116502-03-001958.txt : 20031028 0001116502-03-001958.hdr.sgml : 20031028 20031028121436 ACCESSION NUMBER: 0001116502-03-001958 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010101 FILED AS OF DATE: 20031028 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DONN MICHAEL R SR CENTRAL INDEX KEY: 0001266596 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25663 FILM NUMBER: 03960188 MAIL ADDRESS: STREET 1: 6103 SE BLACK OAK LANE CITY: STUART STATE: FL ZIP: 34997 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ULTRASTRIP SYSTEMS INC CENTRAL INDEX KEY: 0001071760 STANDARD INDUSTRIAL CLASSIFICATION: CONSTRUCTION, MINING & MATERIALS HANDLING MACHINERY & EQUIP [3530] IRS NUMBER: 650841549 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3515 S E LIONEL TERRACE CITY: STUART STATE: FL ZIP: 34996 BUSINESS PHONE: 5612874846 MAIL ADDRESS: STREET 1: 3515 S E LIONEL TERRACE CITY: STUART STATE: FL ZIP: 34996 4 1 donn_ex.xml X0201 4 2001-01-01 0 0001071760 ULTRASTRIP SYSTEMS INC None 0001266596 DONN MICHAEL R SR 3515 S.E. LIONEL TERRACE STUARD FL 34997 0 1 0 0 Senior VP Operations/Treasurer Common Stock 2001-01-01 4 A 0 100000 2.88 A 125000 D Common Stock 2002-11-15 4 S 0 45000 2.00 D 80000 D Common Stock 2003-02-12 4 G 0 5000 A 85000 D Employee Stock Options 3.00 2001-01-01 4 A 0 99999 0 A 2007-12-31 Common Stock 99999 99999 D Employee Stock Options 3.00 2001-01-01 4 A 0 100001 0 A 2007-12-31 Common Stock 100001 100001 D The Issuer's common stock is not listed on any public exchange or established trading market. The market value of the Issuer's common stock can only be computed by reference to the price at which the common stock was sold by the Issuer at the most recent sale of common stock prior to the determination date. Options vest as follows: 33% on 12/31/2001, 33% on 12/31/2002 and 33% on 12/31/2003. Options vest as follows: 1 share on 12/31/2003, 33,333 shares each on 12/31/2004 and 12/31/2005 and 33,334 shares on 12/31/2006. /s/ Michael Donn 2003-10-27 -----END PRIVACY-ENHANCED MESSAGE-----