Filing Details
- Accession Number:
- 0001213900-10-000050
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2010-01-06 12:00:00
- Reporting Period:
- 2009-12-31
- Filing Date:
- 2010-01-06
- Accepted Time:
- 2010-01-06 17:26:54
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1134982 | Prevention Insurance Com Inc | PVNC | Insurance Agents, Brokers & Service (6411) | 880126444 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 1423517 | P Alan Donenfeld | C/O Paragon Capital Lp 110 East 59Th Street, 29Th Fl New York NY 10022 | Chief Executive Officer | Yes | Yes | Yes | 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, Par Value $0.01 Per Share | Acquisiton | 2007-12-31 | 0 | $0.00 | 71,955,638 | No | 4 | P | Indirect | By Limited Partnership |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | P | Indirect | By Limited Partnership |
Reported Derivative Transactions
| Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
|---|---|---|---|---|---|---|---|
| Warrants | Warrants | Acquisiton | 2008-04-30 | 0 | $10,000.00 | 10,000,000 | $0.01 |
| Warrants | Warrants | Acquisiton | 2008-08-29 | 0 | $20,000.00 | 20,000,000 | $0.01 |
| Warrants | Warrants | Acquisiton | 2008-10-08 | 0 | $10,000.00 | 10,000,000 | $0.01 |
| Warrants | Warrants | Acquisiton | 2009-01-28 | 0 | $15,000.00 | 15,000,000 | $0.01 |
| Warrants | Warrants | Acquisiton | 2009-05-29 | 0 | $15,000.00 | 15,000,000 | $0.01 |
| Warrants | Warrants | Acquisiton | 2009-12-31 | 0 | $75,000.00 | 75,000,000 | $0.01 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 10,000,000 | 2008-04-30 | 2011-04-30 | No | 4 | J | Indirect |
| 30,000,000 | 2008-08-29 | 2011-08-29 | No | 4 | J | Indirect |
| 40,000,000 | 2008-10-08 | 2011-10-08 | No | 4 | J | Indirect |
| 55,000,000 | 2009-01-28 | 2012-01-28 | No | 4 | J | Indirect |
| 70,000,000 | 2009-05-29 | 2012-05-29 | No | 4 | J | Indirect |
| 145,000,000 | 2009-12-31 | 2012-12-31 | No | 4 | J | Indirect |
Footnotes
- Purchase of warrants exercisable for 10,000,000 shares of common stock
- Purchase of warrants exercisable for 20,000,000 shares of common stock
- Purchase of warrants exercisable for 10,000,000 shares of common stock
- Purchase of warrants exercisable for 15,000,000 shares of common stock
- Purchase of warrants exercisable for 15,000,000 shares of common stock
- Purchase of warrants exercisable for 75,000,000 shares of common stock
- Ownership is through Paragon Capital LP. Mr. Donenfeld is the Managing Member of Paragon Capital Advisors LLC which is the General Partner of Paragon Capital LP. If the reporting person exercises all the warrants reported herein, the number of shares to be issued will exceed the issuer's number of authorized and unissued shares of common stock. Reporting person has agreed to not exercise any warrants to the extent that issuance of shares resulting therefrom would require issuance of shares not currently authorized. Based on the issuer's Form 10-K for the quarter ended October 31, 2009, there are 527,067 shares of common stock authorized but not outstanding. Therefore reporting person disclaims beneficial ownership with respect to all the shares underlying warrants reported herein except with respect to 527,067 shares.
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