-----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, RrveIMKso9hHVZfoDm+7iCXYTf2NGBggOWAGtwhpU59l0DMkNww3lQOenRXx/V2B KRZyogrO3GiI+qSVWz4ffg== 0001144204-05-011985.txt : 20050419 0001144204-05-011985.hdr.sgml : 20050419 20050419103201 ACCESSION NUMBER: 0001144204-05-011985 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050331 FILED AS OF DATE: 20050419 DATE AS OF CHANGE: 20050419 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IMAGE SOFTWARE INC CENTRAL INDEX KEY: 0000723574 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 840866294 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6025 S QUEBEC STREET STREET 2: SUITE 300 CITY: ENGLEWOOD STATE: CO ZIP: 80111 BUSINESS PHONE: (303) 694-9180 MAIL ADDRESS: STREET 1: 6025 S QUEBEC STREET STREET 2: SUITE 300 CITY: ENGLEWOOD STATE: CO ZIP: 80111 FORMER COMPANY: FORMER CONFORMED NAME: INFORMATION SOLUTIONS INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEYOUNG DAVID R CENTRAL INDEX KEY: 0000939464 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12535 FILM NUMBER: 05758309 BUSINESS ADDRESS: STREET 1: IMAGE SOFTWARE INC STREET 2: 6486 SOUTH QUEBEC STREET CITY: ENGLEWOOD STATE: CO ZIP: 80111 BUSINESS PHONE: 3036949180 MAIL ADDRESS: STREET 1: C/O IMAGE SOFTWARE INC STREET 2: 6486 S QUEBEC ST CITY: ENGLEWOOD STATE: CO ZIP: 80111 4 1 v016548_ex.xml X0202 4 2005-03-31 0 0000723574 IMAGE SOFTWARE INC ISOL 0000939464 DEYOUNG DAVID R 6025 S. QUEBEC ST. SUITE 300 ENGLEWOOD CO 80111 1 1 1 0 CEO and President Warrant to purchase Common Stock .14 2005-03-31 4 P 0 30000 0 A 2003-04-30 2008-04-01 Common Stock 30000 30000 D Line of Credit (Convertible Note) .14 2005-03-31 4 P 0 949067 0 A 2005-03-31 2007-06-30 Common Stock 949067 949067 I See footnote The warrant was amended on March 31, 2005 to provide that it is exercisable at the lesser of $.14 or 80% of the fair market value as the date of the actual exercise. The Reporting Person holds a 25.4% interest in DEMALE, LLC which holds a Line of Credit (Convertible Note) which includes a conversion right for the principal amount of, and unpaid interest on, the Line of Credit. As amended on March 31, 2005, the conversion rate is equal to $.14 per share or 80% of the fair market value on the date of the written notice, whichever is lower at the time of conversion. Currently the Line of Credit, including interest through March 31, 2005, is convertible into 3,740,057 shares at $0.14 per share. /s/ David R. DeYoung 2005-04-18 -----END PRIVACY-ENHANCED MESSAGE-----