-----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, CYYSZQ9ahRF2qRlyW1MN2A7djBjZqSN6BRai2+dj6we7CJrcGAB3k2CQv1UH5hL1 R9xLc1XtovEom/we8G2drA== 0001179110-09-011423.txt : 20090803 0001179110-09-011423.hdr.sgml : 20090801 20090803110720 ACCESSION NUMBER: 0001179110-09-011423 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090721 FILED AS OF DATE: 20090803 DATE AS OF CHANGE: 20090803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hattara Jeffrey J CENTRAL INDEX KEY: 0001452059 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15113 FILM NUMBER: 09979172 MAIL ADDRESS: STREET 1: 2445 WINNETKA AVENUE N CITY: GOLDEN VALLEY STATE: MN ZIP: 55427 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VERITEC INC CENTRAL INDEX KEY: 0000773318 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679] IRS NUMBER: 953954373 STATE OF INCORPORATION: NV FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1163 KURSE ST CITY: WEST ST PAUL STATE: MN ZIP: 55118 BUSINESS PHONE: 6515529215 MAIL ADDRESS: STREET 1: 1163 KURSE ST CITY: WEST ST PAUL STATE: MN ZIP: 55118 4 1 edgar.xml FORM 4 - X0303 4 2009-07-21 0 0000773318 VERITEC INC VRTC 0001452059 Hattara Jeffrey J 2445 WINNETKA AVENUE N GOLDEN VALLEY MN 55427 0 1 0 0 Chief Executive Officer Common Stock, $.01 par value 1000000 D Stock Options (right to buy) 0.30 2009-12-05 2014-12-05 Common Stock, $.01 par value 150000 150000 D Convertible Promissory Note 0.33 2009-07-21 4 P 0 25000 A 2009-07-21 2010-07-21 Common Stock 75757 D Includes grant of restricted stock; 500,000 shares vest on each of 6/5/09 and 12/5/09. Reflects a Convertible Promissory Note issued in the amount of $25,000. The Note is convertible into the Issuer's Common Stock, at the election of the Reporting Person, at the rate of 1 share of Common Stock for each $0.33 of indebtedness at the time of election. /s/ Jeffrey J. Hattara 2009-07-30 -----END PRIVACY-ENHANCED MESSAGE-----