Filing Details

Accession Number:
0001179350-10-000001
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-01-12 12:00:00
Reporting Period:
2010-01-08
Filing Date:
2010-01-12
Accepted Time:
2010-01-12 14:05:05
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1088213 Nano Mask Inc. NANM Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842) 870561647
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1479780 J Michael Marx 708D Industrial Park Drive
Manteca CA 95337
Chief Financial Officer No Yes 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 2010-01-08 125,000 $0.12 974,984 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 163,000 Indirect Held by spouse.
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Warrants $0.50 2009-09-15 2011-09-14 250,000 250,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2011-09-14 250,000 250,000 Direct
Footnotes
  1. Reporting person accepted shares in lieu of cash as payment for services rendered prior to appointment as officer.
  2. Represents closing price of common stock on the date of the board approval of the share issuance.