X0202 4 2004-05-27 0 0000809012 HOST AMERICA CORP CAFE 0001238611 HEALY PATRICK JAMES TWO BROADWAY HAMDEN CT 06518 1 0 0 0 COMMON STOCK WARRANTS (RIGHT TO BUY) 10 2004-05-27 4 P 0 15000 A 2004-12-31 2009-01-31 COMMON STOCK 15000 87160 D The reported securities are included within 2 units purchased by the reporting person for $25,000 per unit. Each unit consists of one warrant to purchase 7,500 shares of common stock and one 7.5% unsecured promissory note due 2009 in the face amount of $25,000. Includes (i) 5,000 options to purchase common stock at $2.25 per share; (ii) 8,750 options to purchase common stock at $4.00 per share; (iii) 5,000 options to purchase common stock at $2.69 per share; (iv) 7,500 options to purchase common stock at $2.45 per share; (v) 12,750 options to purchase common stock at $2.00 per share; (vi) 5,000 options to purchase common stock at $7.05 per share; (vii) 14,000 options to purchase common stock at $7.30 per share; (viii) a warrant to purchase 14,160 shares of common stock at $2.00 per share; and (ix) a warrant to purchase 15,000 shares of common stock at $10.00 per share. PATRICK J. HEALY 2005-01-19