-----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, Kf7oM4l7XI/hWfXL8FjRLYzf2b11OX4NDL26W7Y1DTPSidZaZMVst4MmjRBaBxmf L8+7gMWerDWq566CEqyNIg== 0000897069-04-000360.txt : 20040213 0000897069-04-000360.hdr.sgml : 20040213 20040213161610 ACCESSION NUMBER: 0000897069-04-000360 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040213 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LIQUIDMETAL TECHNOLOGIES INC CENTRAL INDEX KEY: 0001141240 STANDARD INDUSTRIAL CLASSIFICATION: CHEMICALS & ALLIED PRODUCTS [2800] IRS NUMBER: 330264467 BUSINESS ADDRESS: STREET 1: 25800 COMMERCENTRE DRIVE STREET 2: SUITE 100 CITY: LAKE FOREST STATE: CA ZIP: 92630 BUSINESS PHONE: 800-511-3651 FORMER COMPANY: FORMER CONFORMED NAME: LIQUIDMETAL TECHNOLOGIES DATE OF NAME CHANGE: 20010523 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TCHEN HENRI CENTRAL INDEX KEY: 0001101517 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31332 FILM NUMBER: 04599326 BUSINESS ADDRESS: STREET 1: 17150 NEWHOPE STREET STREET 2: SUITE 503 CITY: FOUNTAIN VALLEY STATE: CA ZIP: 92708 MAIL ADDRESS: STREET 1: 17150 NEWHOPE STREET STREET 2: SUITE 503 CITY: FOUNTAIN VALLEY STATE: CA ZIP: 92708 5 1 dkm77_ex.xml X0201 5 2003-12-31 0 0 1 0001141240 LIQUIDMETAL TECHNOLOGIES INC LQMT 0001101517 TCHEN HENRI 17150 NEWHOPE STREET SUITE 503 FOUNTAIN VALLEY CA 92708 1 0 0 0 Common Stock 573478 I Held by Synapse Fund I, LLC Common Stock 2003-03-20 4 P 0 2300 6.0961 A 673478 I Held by Synapse Fund II, LLC Common Stock 7500 D Option to purchase common stock 15.00 2003-04-04 2012-04-04 Common Stock 50000 50000 D Option to purchase common stock 9.955 2004-01-02 2013-01-02 Common Stock 10000 10000 D Option to purchase common stock 2.43 2004-12-30 2013-12-30 Common Stock 50000 50000 D 10,000 shares exercisable on each of April 4, 2003, 2004, 2005, 2006 and 2007. 2,000 shares exercisable on each of January 2, 2004, 2005, 2006, 2007 and 2008. 16,666 shares exercisable on each of December 30, 2004 and 2005, and 16,668 shares exercisable on December 30, 2006. /s/ Curt P. Creely, as Attorney-in-Fact for Henri Tchen 2004-02-13 -----END PRIVACY-ENHANCED MESSAGE-----