-----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, IOs8oDDnOmO2G7+sxkC+akOC8J+strs7G+XCeF3C42lYoJSWKfEPUOjK1zWcIcYK XNGYJ4Gr6AC7oSFsfu5MKA== 0001005477-04-002617.txt : 20040709 0001005477-04-002617.hdr.sgml : 20040709 20040709154047 ACCESSION NUMBER: 0001005477-04-002617 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040707 FILED AS OF DATE: 20040709 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ALLIED HEALTHCARE INTERNATIONAL INC CENTRAL INDEX KEY: 0000890634 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 133098275 STATE OF INCORPORATION: NY FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 555 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2127500064 MAIL ADDRESS: STREET 1: 555 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 FORMER COMPANY: FORMER CONFORMED NAME: TRANSWORLD HEALTHCARE INC DATE OF NAME CHANGE: 19970610 FORMER COMPANY: FORMER CONFORMED NAME: TRANSWORLD HOME HEALTHCARE INC DATE OF NAME CHANGE: 19940728 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GREEN G RICHARD CENTRAL INDEX KEY: 0001179594 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11570 FILM NUMBER: 04908090 BUSINESS ADDRESS: STREET 1: SUSSEX HOUSE, QUARRY LANE CITY: CHICHESTER, WEST SUSSEX STATE: X0 ZIP: P019 2PE BUSINESS PHONE: 044011441237440888 MAIL ADDRESS: STREET 1: SUSSEX HOUSE, QUARRY LANE CITY: CHICHESTER, WEST SUSSEX STATE: X0 ZIP: P019 2PE 4 1 edgar123.xml FORM 4 X0202 4 2004-07-07 0 0000890634 ALLIED HEALTHCARE INTERNATIONAL INC AHCI 0001179594 GREEN G RICHARD C/O ALLIED HEALTHCARE INTERNATIONAL INC. 555 MADISON AVENUE NEW YORK NY 10022 UNITED KINGDOM 1 0 0 0 Common Stock 2004-07-07 4 C 0 17440 A 19259 I By Orion Nominees Limited Series A Convertible Preferred Stock 2004-07-07 4 C 0 17440 4.53 D 2002-07-25 2008-12-17 Common Stock 17440 0 I By Orion Nominees Limited The shares of Common Stock were acquired upon the conversion of the Series A Convertible Preferred Stock of the Company held indirectly by the reporting person. Each share of Series A Convertible Preferred Stock is convertible into a share of Common Stock on a one-for-one basis (subject to anti-dilution adjustments), without the payment of additional consideration. Does not include 60,995 shares of Common Stock held directly by the reporting person and 2,600 shares of Common Stock held by the reporting person's wife, as to which he disclaims beneficial ownership. Each share of Series A Convertible Preferred Stock is convertible into a share of Common Stock on a one-for-one basis (subject to anti-dilution adjustments), without the payment of additional consideration. /s/ G. Richard Green 2004-07-08 -----END PRIVACY-ENHANCED MESSAGE-----