-----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, F5F+zbNLzxyFqEkK/Rq40BIvUhaLFiGX4Sa+9/a/c8JLtbztAjyLU9B0qmf+Kfg4 HdJiVaXfeobAiIBX3vLVjw== 0001179110-04-000452.txt : 20040106 0001179110-04-000452.hdr.sgml : 20040106 20040106154953 ACCESSION NUMBER: 0001179110-04-000452 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031223 FILED AS OF DATE: 20040106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SAMBERG ARTHUR J CENTRAL INDEX KEY: 0000826624 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-49871 FILM NUMBER: 04510123 BUSINESS ADDRESS: STREET 1: HEALTHE TECH INC STREET 2: 523 PARK POINT DRIVE CITY: GOLDEN STATE: CO ZIP: 80401 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEALTHETECH INC CENTRAL INDEX KEY: 0001141215 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 770478611 BUSINESS ADDRESS: STREET 1: 523 PARK POINT DRIVE STREET 2: 3RD FLOOR CITY: GOLDEN STATE: CO ZIP: 80401 BUSINESS PHONE: 303-526-5085 4/A 1 edgar.xml FORM 4/A - X0201 4/A 2003-12-23 2003-12-31 0 0001141215 HEALTHETECH INC HETC 0000826624 SAMBERG ARTHUR J 500 NYALA FARM ROAD WESTPORT CT 06880 1 0 1 0 Common Stock 2003-12-23 4 P 0 6578947 0.76 A 7254835 I See footnote 2 Warrant (right to buy) 0.76 2003-12-23 4 P 0 4605263 0.76 A 2003-12-23 2013-12-22 Common Stock 4605263 4605263 I See footnote 2 As the acquisition reported in this filing occurred on December 23, 2003, the amounts stated do not reflect the 1-for-5 reverse stock split which occurred on December 31, 2003. All future filings will be stated on a post-split basis. These securities are owned directly by Kodiak Capital, LLC. These securities may be deemed to be owned indirectly by Arthur J. Samberg, as the managing member of Kodiak Capital, LLC. Arthur J. Samberg disclaims ownership of such securities, except to the extent of his pecuniary interest arising therein. 6,578,947 of these shares are owned directly by Kodiak Capital, LLC. These shares may be deemed to be owned indirectly by Arthur J. Samberg, as the managing member of Kodiak Capital, LLC. Arthur J. Samberg disclaims ownership of such shares, except to the extent of his pecuniary interest arising therein. The remaining 675,888 shares are owned directly by Arthur J. Samberg. /s/ Arthur J. Samberg 2004-01-06 -----END PRIVACY-ENHANCED MESSAGE-----