-----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, HMZiTMeFNOCGqxtnAubz5sLwblNJXP90VhDibmnRTRQlolb/QXh0t5qGxN7xErfS FRLdgbo01GXzVkCjaJiE9w== 0001116502-03-002008.txt : 20031031 0001116502-03-002008.hdr.sgml : 20031031 20031031101812 ACCESSION NUMBER: 0001116502-03-002008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990815 FILED AS OF DATE: 20031031 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COUSTEAU JEAN MICHEL CENTRAL INDEX KEY: 0001158300 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25663 FILM NUMBER: 03968505 BUSINESS ADDRESS: STREET 1: 3515 SE LIONEL TERRACE CITY: STUART STATE: FL ZIP: 34996 MAIL ADDRESS: STREET 1: 3515 SE LIONEL TERRACE CITY: STUART STATE: FL ZIP: 34996 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 cousteau_ex.xml X0201 4 1999-08-15 0 0001071760 ULTRASTRIP SYSTEMS INC None 0001158300 COUSTEAU JEAN MICHEL 3515 SE LIONEL TERRACE STUART FL 34997 1 0 0 0 Common stock 2000-08-16 4 G 0 100000 A 100000 D Common stock 2001-02-08 4 G 0 100000 A 200000 D Employee Stock Options 7.50 1999-08-15 4 A 0 50000 0 A 1999-08-15 2002-08-15 Common Stock 50000 50000 D Employee Stock Options 5.00 2001-12-20 4 A 0 50000 0 A 2011-12-20 Common Stock 50000 50000 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. As a result of a 4-for-1 stock split of the Issuer's shares on 11/15/1999, this option was converted to an option covering 200,000 shares with an exercise price of $1.88 per share. Options vest as follows: 33% on 12/20/2002, 33% on 12/20/2003 and 33% on 12/20/2004. /s/ Jean-Michel Cousteau 2003-10-29 -----END PRIVACY-ENHANCED MESSAGE-----