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