-----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, Mukhb6Wqn8afGtJq2vqqas5UpNzFrYn607rPsW7aFyUlh/nvmSZYCMJI9Odgm2O4 cbNcHXulWVdv/D6jnm411g== 0001179350-09-000041.txt : 20090612 0001179350-09-000041.hdr.sgml : 20090612 20090612144446 ACCESSION NUMBER: 0001179350-09-000041 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090610 FILED AS OF DATE: 20090612 DATE AS OF CHANGE: 20090612 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Suydam Edward J CENTRAL INDEX KEY: 0001463708 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27421 FILM NUMBER: 09889484 MAIL ADDRESS: STREET 1: 708D INDUSTRIAL PARK DRIVE CITY: MANTECA STATE: CA ZIP: 95337 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Nano Mask, Inc. CENTRAL INDEX KEY: 0001088213 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 870561647 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 708D INDUSTRIAL PARK DRIVE CITY: MANTECA STATE: CA ZIP: 95337 BUSINESS PHONE: 209-249-4325 MAIL ADDRESS: STREET 1: 708D INDUSTRIAL PARK DRIVE CITY: MANTECA STATE: CA ZIP: 95337 FORMER COMPANY: FORMER CONFORMED NAME: EMERGENCY FILTRATION PRODUCTS INC/ NV DATE OF NAME CHANGE: 19990608 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2009-06-10 0 0001088213 Nano Mask, Inc. NANM 0001463708 Suydam Edward J 708D INDUSTRIAL PARK DRIVE MANTECA CA 95337 1 1 0 0 COO Common stock 2009-06-10 4 P 0 49265 0.2 A 1422590 D Warrants 0.5 2009-06-10 4 P 0 49265 0 A 2009-06-10 2011-06-09 Common stock 49265 49265 D Reporting person converted debt to equity, purchasing units consisting of one share and one warrant to purchase one share, at a conversion price of $0.20 per unit. /s/Edward J Suydam 2009-06-12 -----END PRIVACY-ENHANCED MESSAGE-----