-----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, Pnc4mn9rUvdh64+mCIL0lLdiiBX1L+BnJxl2WZd/YBRiSzL/aslCe0kYINPeDDsC 52TU9h4MqN3poCNaHCdFwg== 0000716101-02-000030.txt : 20020510 0000716101-02-000030.hdr.sgml : 20020510 ACCESSION NUMBER: 0000716101-02-000030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020430 FILED AS OF DATE: 20020510 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: EQUITEX INC CENTRAL INDEX KEY: 0000716101 STANDARD INDUSTRIAL CLASSIFICATION: MORTGAGE BANKERS & LOAN CORRESPONDENTS [6162] IRS NUMBER: 840905189 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12374 FILM NUMBER: 02641336 BUSINESS ADDRESS: STREET 1: 7315 E PEAKVIEW AVE STREET 2: GREENWOOD EXECUTIVE PARK BLDG 8 CITY: ENGLEWOOD STATE: CO ZIP: 80111 BUSINESS PHONE: 3037968940 MAIL ADDRESS: STREET 1: 7315 EAST PEAKVIEW AVENUE CITY: ENGLEWOOD STATE: CO ZIP: 80111-6701 COMPANY DATA: COMPANY CONFORMED NAME: WELLBOURN JAMES P CENTRAL INDEX KEY: 0001170901 DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 1100 WAYZATA BLVD STREET 2: SUITE 111 CITY: MINNETONKA STATE: MN ZIP: 55305 BUSINESS PHONE: 9525410455 MAIL ADDRESS: STREET 1: 1100 WAYZATA BLVD STREET 2: SUITE 111 CITY: MINNETONKA STATE: MN ZIP: 55305 4 1 jweqtxform44-02.txt APRIL 2002 FORM 4 OWNERSHIP CHANGES U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 [ ] Check this box if no longer subject of Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). ================================================================================ 1. Name and Address of Reporting Person WELBOURN JAMES P. - -------------------------------------------------------------------------------- (Last) (First) (Middle) 1772 LAFAYETTE LANE - -------------------------------------------------------------------------------- (Street) MOUND MINNESOTA 55364 - -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Issuer Name and Ticker or Trading Symbol EQUITEX, INC. (EQTX) ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) ================================================================================ 4. Statement for Month/Year APRIL 2002 ================================================================================ 5. If Amendment, Date of Original (Month/Year) ================================================================================ 6. Relationship of Reporting Person to Issuer (Check all applicable) [ X ] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) -------------------------------------------------------------------- ================================================================================ 7. Individual or Joint/Group Filing (Check Applicable Line) [ X ] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person ================================================================================ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned ================================================================================
6. 4. 5. Owner- Securities Acquired (A) or Amount of ship 3. Disposed of (D) Securities Form: 7. Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of 2. Code ------------------------------- Owned at End (D) or Indirect 1. Transaction (Instr. 8) (A) of Month Indirect Beneficial Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ COMMON STOCK, $.02 PAR VALUE 04/23/02 X 200,000 A 0.50 859,467 D - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
9. 10. Number Owner- of ship 2. Deriv- of Conver- 5. 7. ative Deriv- 11. sion Number of Title and Amount Secur- ative Nature or Derivative 6. of Underlying 8. ities Secur- of Exer- 4. Securities Date Securities Price Bene- ity: In- cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene- 1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner- Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - ------------------------------------------------------------------------------------------------------------------------------------ COMMON STOCK $3.84 12/21 12/21 COMMON 365, 365,000 D PURCHASE WARRANT 2001 2005 STOCK 000 - ------------------------------------------------------------------------------------------------------------------------------------ COMMON STOCK $5.65 8/6 11/10 COMMON 6,556 6,556 D PURCHASE WARRANT 2001 2004 STOCK - ------------------------------------------------------------------------------------------------------------------------------------ COMMON STOCK $0.02 8/6 11/10 COMMON 1,650 1,650 D PURCHASE WARRANT 2001 2004 STOCK - ------------------------------------------------------------------------------------------------------------------------------------ COMMON STOCK $0.50 4/22/02 J(1) 200, 4/22 5/22 COMMON 200, 0 D PURCHASE WARRANT 000 2002 2002 STOCK 000 - ------------------------------------------------------------------------------------------------------------------------------------ COMMON STOCK $0.50 4/23/02 X 200, 3/13 5/24 COMMON 200, .50 0 D PURCHASE WARRANT 000 2002 2002 STOCK 000 - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: (1) Consideration pursuant to acquisition of Chex Services, Inc. /S/ JAMES P. WELBOURN MAY 10, 2002 - --------------------------------------------- ----------------------- **Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedures. -----END PRIVACY-ENHANCED MESSAGE-----