Filing Details

Accession Number:
0001181431-10-008735
Form Type:
4/A
Zero Holdings:
No
Publication Time:
2010-02-12 12:00:00
Reporting Period:
2009-07-17
Filing Date:
2010-02-12
Accepted Time:
2010-02-12 14:06:06
Original Submission Date:
2009-07-21
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1014041 Sri Surgical Express Inc STRC Services-Personal Services (7200) 593252632
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1250095 R Wayne Peterson 2779 Camden Road
Clearwater FL 33759
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 Disposition 2009-07-17 75 $1.50 244,072 No 4 S Indirect By Peterson Partners Ltd. (See Footnote 3)
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Indirect By Peterson Partners Ltd. (See Footnote 3)
Footnotes
  1. Sold pursuant to a margin call.
  2. These shares were omitted from the reporting person's original Form 4.
  3. This amount includes (i) 42,608 shares of Common Stock owned by the Wayne R. Peterson Grantor Retained Annuity Trust, of which Mr. Peterson is trustee, (ii) 42,609 shares of Common Stock owned by the Theresa A. Peterson Grantor Retained Annuity Trust, of which Mrs. Peterson, Mr. Peterson's wife, is trustee, (iii) 31,044 shares of Common Stock owned by Mr. and Mrs. Peterson as tenants by the entireties, and (iv) 127,811 shares of Common Stock owned by Peterson Partners, Ltd., a Colorado limited partnership, of which Peterson Holdings, Inc., a Colorado corporation, is the general partner. Mr. and Mrs. Peterson jointly own all of the issued and outstanding voting sotck of Peterson Holdings, Inc.