Filing Details

Accession Number:
0001140361-10-046466
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-11-18 17:44:41
Reporting Period:
2010-11-12
Filing Date:
2010-11-18
Accepted Time:
2010-11-18 17:44:41
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1136174 Hythiam Inc. HYTM Services-Misc Health & Allied Services, Nec (8090) 880464853
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1289633 Jay Wolf 11150 Santa Monica Blvd. #1500
Los Angeles CA 90025
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2010-11-12 2,878,415 $0.01 2,878,415 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock 12% Convertible Promissory Note Acquisiton 2010-11-12 17,121,585 $0.01 17,121,585 $0.01
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
17,621,585 2020-11-16 No 4 P Direct
Footnotes
  1. The 12% Convertible Promissory Notes and any accrued interest convert automatically into common stock, if and when sufficient shares become authorized at a conversion price of $0.01 per share, subject to certain adjustments, including certain share issuances below $0.01 per share. The Company agreed to use its best efforts to file a proxy statement seeking shareholder approval to increase the number of authorized shares within 30 days of closing. The Notes mature two years from issuance.