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Filing Details

Accession Number:
0001179110-11-006302
Form Type:
5
Zero Holdings:
No
Publication Time:
2011-04-08 19:08:47
Reporting Period:
2010-12-31
Filing Date:
2011-04-08
Accepted Time:
2011-04-08 19:08:47
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1024075 Power Efficiency Corp PEFF Electrical Industrial Apparatus (3620) 223337365
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1230612 Herman Sarkowsky 1201 3Rd Avenue
Suite 5450
Seattle WA 98101
Yes No 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 Acquisiton 2008-12-02 220,000 $0.20 3,553,334 No 4 J Direct
Common Stock Acquisiton 2009-09-21 500,000 $0.15 4,053,334 No 4 P Direct
Common Stock Acquisiton 2009-12-01 115,789 $0.38 4,169,123 No 4 J Direct
Common Stock Acquisiton 2010-12-11 244,444 $0.18 4,413,567 No 4 J Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 J Direct
No 4 P Direct
No 4 J Direct
No 4 J Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series B Convertible Preferred Stock Acquisiton 2007-10-29 11,000 $0.50 1,100,000 $0.50
Common Stock Common Stock Warrants Acquisiton 2007-10-29 486,980 $0.00 486,980 $0.60
Common Stock Common Stock Warrants Acquisiton 2010-05-13 869,566 $0.00 869,566 $0.23
Common Stock Series D Convertible Preferred Stock Acquisiton 2010-06-21 13,500 $0.16 1,350,000 $0.16
Common Stock Common Stock Warrants Acquisiton 2010-06-21 675,000 $0.00 675,000 $0.19
Common Stock Common Stock Options Acquisiton 2010-08-13 62,500 $0.17 62,500 $0.17
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
1,100,000 No 4 P Direct
486,980 No 4 P Direct
869,566 2015-05-12 No 4 P Direct
1,350,000 No 4 P Direct
675,000 2015-06-20 No 4 P Direct
62,500 2020-08-11 No 4 A Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 3,333,334 Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Common Stock Warrants $0.40 2006-11-30 2011-11-29 1,666,667 1,666,667 Direct
Common Stock Common Stock Warrants $0.40 2006-11-30 2011-11-29 486,980 2,153,647 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2011-11-29 1,666,667 1,666,667 Direct
2011-11-29 486,980 2,153,647 Direct
Footnotes
  1. Issued in connection with a Preferred Stock Dividend paid in Common Stock.
  2. None
  3. Immediately
  4. These warrants were part of a purchase of Series B Convertible Preferred Stock, as described above.
  5. These stock warrants were issued in connection with a note to the issuer on 05-13-2010, and vested monthly as long as the note was outstanding. This note was paid off with the issuer's financing closed on 6/21/2010.
  6. These warrants were part of a purchase of Series D Convertible Preferred Stock, as described above.
  7. 31,250 options become exercisable on 9/30/2010, 31,250 options become exercisable on 12/31/2010.