-----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, SRWw/EDDZP5voGOxd6mdqbQ1yka7olrwdU/r/VIEU0wU282zxKR4z84E2dkJS8Z1 +kcjI5e7RnE+Y+P+Cd89kQ== 0001144204-07-059258.txt : 20071108 0001144204-07-059258.hdr.sgml : 20071108 20071108160251 ACCESSION NUMBER: 0001144204-07-059258 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070329 FILED AS OF DATE: 20071108 DATE AS OF CHANGE: 20071108 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: China Premium Lifestyle Enterprise, Inc. CENTRAL INDEX KEY: 0001309346 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 113718650 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10/F, WO KEE HONG BUILDING, STREET 2: 585-609 CASTLE PEAK ROAD, CITY: KWAI CHUNG, N.T., STATE: K3 ZIP: 00000 BUSINESS PHONE: 866-922-8243 MAIL ADDRESS: STREET 1: 10/F, WO KEE HONG BUILDING, STREET 2: 585-609 CASTLE PEAK ROAD, CITY: KWAI CHUNG, N.T., STATE: K3 ZIP: 00000 FORMER COMPANY: FORMER CONFORMED NAME: XACT AID INC DATE OF NAME CHANGE: 20041122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MISEROY CHARLES CENTRAL INDEX KEY: 0001346085 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 333-120807 FILM NUMBER: 071225815 BUSINESS ADDRESS: BUSINESS PHONE: 805 494 7838 MAIL ADDRESS: STREET 1: ADDISON DAVIS DIAGNOSTICS INC STREET 2: 143 TRIUNFO CANYON ROAD STE 104 CITY: WESTLAKE VILLAGE STATE: CA ZIP: 91361 4 1 v093107_ex.xml X0202 4 2007-03-29 0 0001309346 China Premium Lifestyle Enterprise, Inc. CPMM.OB 0001346085 MISEROY CHARLES C/O HAPPY EMERALD LIMITED 12318 FOXCROFT PLACE GRANADA HILLS CA 91344-1621 0 0 1 0 Common Stock, par value $.001 per share 2007-03-29 4 C 0 6053153 .0433 A 6053153 I footnote Series A Convertible Preferred Stock, $.001 .0433 2007-03-29 4 C 0 65454 .0433 D Common Stock 6053153 495791 I footnote Mr. Charles Miseroy is the controlling equity holder of Happy Emerald Limited, the record owner of the shares of Series A Preferred Stock. Mr. Miseroy has the discretionary voting and dispositive power over the shares and may be deemed to directly, beneficially hold the shares of the Issuer. The convertible preferred stock is convertible at any time, at the holder's election and has no expiration date. Each of 495,791 shares of Series A Convertible Preferred Stock is convertible into 92.2045 shares of the Company's Common Stock (subject to customary adjustments for stock splits, reorganizations, recapitalizations, etc.), has a liquidation preference of $4.00, has voting rights on an as converted basis, and does not have any mandatory dividend rights. $.04338 /s/ Charles Miseroy 2007-11-08 -----END PRIVACY-ENHANCED MESSAGE-----