X0202 4 2005-01-19 0 0000809012 HOST AMERICA CORP CAFE 0001285955 HORTON C MICHAEL C/O HOST AMERICA CORP 2 BROADWAY HAMDEN CT 06158-2697 1 0 0 0 Common Stock, $.001 par value 2005-01-19 4 P 0 24390 4.1 A 62758 D 7.5% Unsecured Convertible Promissory Note 4.1 2005-01-19 4 P 0 24390 A 2006-01-19 2007-01-31 Common Stock 24390 86992 D The reported securities are included within one unit purchased by the reporting person for $200,000. The unit consists of 24,390 shares of common stock and one 7.5% unsecured convertible promissory note due 2007 in the face amount of $100,000, which is convertible into shares of common stock at an exercise price of $4.10 per share. Includes (i) 12,750 options to purchase common stock at $7.30 per share; (ii) 35,692 warrants to purchase common stock at $5.50 per share; (iii) 14,160 warrants to purchase common stock at $2.00 per share; and (iv) 24,390 shares issuable pursuant to the convertible note described in footnote 1. C. MICHAEL HORTON 2005-01-19