Filing Details

Accession Number:
0001493152-11-000142
Form Type:
5
Zero Holdings:
No
Publication Time:
2011-05-13 18:26:20
Reporting Period:
2010-12-31
Filing Date:
2011-05-13
Accepted Time:
2011-05-13 17:26:20
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1368286 Itech Medical Inc. IMSU Surgical & Medical Instruments & Apparatus (3841) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1385009 W Donald Paterson 24 Elgin Avenue
Toronto A6 MSR1G6
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, Par Value $0.0001 Per Share Acquisiton 2011-02-19 362,500 $0.40 462,500 No 4 P Indirect By Corporation
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Corporation
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series 'B' Warrants (Right to Buy) Acquisiton 2005-07-01 100,000 $0.00 100,000 $1.00
Common Stock Series 'B' Warrants (Right to Buy) Acquisiton 2006-07-01 200,000 $0.00 100,000 $1.00
Common Stock Series 'B' Warrants (Right to Buy) Acquisiton 2007-07-01 300,000 $0.00 100,000 $1.00
Common Stock Series 'B' Warrants (Right to Buy) Acquisiton 2008-07-01 445,000 $0.00 145,000 $1.00
Common Stock Series 'B' Warrants (Right to Buy) Acquisiton 2008-10-01 590,000 $0.00 145,000 $1.00
Common Stock Series 'B' Warrants (Right to Buy) Acquisiton 2009-01-01 880,000 $0.00 290,000 $1.00
Common Stock Series 'B' Warrants (Right to Buy) Acquisiton 2009-07-01 1,025,000 $0.00 145,000 $1.00
Common Stock Series 'B' Warrants (Right to Buy) Acquisiton 2009-12-31 1,170,000 $0.00 145,000 $1.00
Common Stock Stock Options(Right to Buy) Acquisiton 2010-06-24 460,000 $0.00 460,000 $0.25
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
200,000 2005-07-01 2012-12-31 No 4 J Indirect
300,000 2006-07-01 2012-12-31 No 4 J Indirect
400,000 2007-07-01 2012-12-31 No 4 J Indirect
545,000 2008-07-01 2012-12-31 No 4 J Indirect
690,000 2008-10-01 2012-12-31 No 4 J Indirect
980,000 2009-01-01 2012-12-31 No 4 J Indirect
1,125,000 2009-07-01 2012-12-31 No 4 J Indirect
1,270,000 2009-12-31 2012-12-31 No 4 J Indirect
460,000 2010-06-24 2010-06-24 No 4 J Direct
Footnotes
  1. Common Stock acquired by Reporting Person on Transaction Date which should have been reported on a Form 4 within two business days of the Transaction Date.
  2. Common Stock acquired by Reporting Person through the conversion of a $145,000 loan at a price of $0.40 per share.
  3. Common Stock held directly by Cavandale Corporation of which Reporting Persons has voting and dispositive control.
  4. Warrants acquired by Reporting Person on Transaction Date listed in column 2 of Table II which should have been reported on a Form 4 by the Reporting Person within 2 business days of the Transaction Date.
  5. Warrants were granted to the Reporting Person in consideration for extending a $145,000 loan to the Company, bearing interest at 10% per annum and maturing on November 1, 2004.
  6. Stock option granted to Reporting Person on Transaction Date which should have been reported by the Reporting Person within 2 business days of the Transaction Date.
  7. Stock option granted to Reporting Person on Transaction Date which should have been reported by the Reporting Person within 2 business days of the Transaction Date.