0001118491-14-000003.txt : 20140717
0001118491-14-000003.hdr.sgml : 20140717
20140717200505
ACCESSION NUMBER: 0001118491-14-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140715
FILED AS OF DATE: 20140717
DATE AS OF CHANGE: 20140717
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BEAMZ INTERACTIVE INC
CENTRAL INDEX KEY: 0001423357
STANDARD INDUSTRIAL CLASSIFICATION: HOUSEHOLD AUDIO & VIDEO EQUIPMENT [3651]
IRS NUMBER: 943399024
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 15354 N. 83RD WAY
STREET 2: SUITE 102
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85260
BUSINESS PHONE: 480-889-0150
MAIL ADDRESS:
STREET 1: 15354 N. 83RD WAY
STREET 2: SUITE 102
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85260
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TM-07 Investments, LLC
CENTRAL INDEX KEY: 0001553945
STATE OF INCORPORATION: AZ
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54662
FILM NUMBER: 14981484
BUSINESS ADDRESS:
STREET 1: 15354 N 83RD WAY
STREET 2: SUITE 102
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85260
BUSINESS PHONE: 602-617-0971
MAIL ADDRESS:
STREET 1: 15354 N 83RD WAY
STREET 2: SUITE 102
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85260
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MOLLO CHARLES R
CENTRAL INDEX KEY: 0001118491
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54662
FILM NUMBER: 14981485
MAIL ADDRESS:
STREET 1: 7955 E REDFIELD RD
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85260
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2014-07-15
0
0001423357
BEAMZ INTERACTIVE INC
BZIC
0001118491
MOLLO CHARLES R
15354 N. 83RD WAY
SUITE 101
SCOTTSDALE
AZ
85260
1
1
1
0
Chief Executive Officer
0001553945
TM-07 Investments, LLC
15354 N. 83RD WAY
SUITE 101
SCOTTSDALE
AZ
85260
0
0
1
0
Common Stock
2014-07-15
4
P
0
3700000
0.05
A
9983175
I
See Footnotes 1 and 3
Common Stock
2014-07-15
4
P
0
3800000
0.05
A
5280119
I
See Footnote 2
Warrant
0.05
2014-07-15
4
J
0
3700000
A
2014-07-15
2017-07-15
Common Stock
3700000
3700000
I
See Footnotes 1, 3, and 4
Warrant
0.05
2014-07-15
4
J
0
3800000
A
2014-07-15
2017-07-15
Common Stock
3800000
3800000
I
See Footnotes 2 and 5
Mr. Mollo indirectly beneficially owns 100% of the ownership interests of TM-07 Investments, LLC ("TM-07"). TM-07 acquired these shares of common stock of the Issuer ("Common Stock") in a transaction which closed on July 15, 2014 pursuant to a Securities Purchase Agreement by and between TM-07 and the Issuer (the "TM-07 SPA").
Mr. Mollo serves as trustee of CRM-008 Trust ("CRM-008"). CRM-008 acquired shares of Common Stock in a transaction which closed on July 15, 2014 pursuant to a Securities Purchase Agreement by and between CRM-008 and the Issuer (the "CRM SPA").
TM-07, which is also reporting its ownership on this Form 4, does not beneficially own the non-derivative and derivative securities owned by CRM-008 and, as such, beneficially owns only 9,983,175 shares of Common Stock and the number of derivative securities it is reported as owning on this Form 4 and any previously filed Section 16 forms.
TM-07 acquired these derivative securities pursuant to the terms of the TM-07 SPA.
CRM-008 acquired this derivative securities pursuant to the terms of the CRM SPA.
/s/ Charles R. Mollo
2014-07-17
/s/ Charles R. Mollo, Manager TM-07
2014-07-17