Lithium Technology Corp - Initial Statement of Beneficial Ownership (3)
30 Mayo 2008 - 4:32PM
Edgar (US Regulatory)
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0104
Expires:
February 28, 2011
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
Borst Cornelis J.M.
|
2. Date of Event Requiring Statement (MM/DD/YYYY)
4/28/2008
|
3. Issuer Name
and
Ticker or Trading Symbol
LITHIUM TECHNOLOGY CORP [LTHU]
|
(Last)
(First)
(Middle)
BOKSHEIDE 20,
|
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
___
X
___ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
|
(Street)
EERSEL, P7 5521 PM
(City)
(State)
(Zip)
|
5. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Beneficially Owned
|
1.Title of Security
(Instr. 4)
|
2. Amount of Securities Beneficially Owned
(Instr. 4)
|
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
|
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
|
Common Stock
|
8925000
|
I
(1)
|
See footnote.
(2)
|
Common Stock
|
8925000
|
D
(3)
|
|
Common Stock
|
1500000
|
D
(4)
|
|
Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 4)
|
2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
|
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
|
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
|
Date Exercisable
|
Expiration Date
|
Title
|
Amount or Number of Shares
|
Series C Convertible Preferred Stock
|
(5)
|
(6)
|
Common Stock
|
41666675
|
(5)
|
I
(7)
|
See footnote.
(8)
|
Series C Convertible Preferred Stock
|
(5)
|
(6)
|
Common Stock
|
41666675
|
(5)
|
D
(9)
|
|
Series C Convertible Preferred Stock
|
(5)
|
(6)
|
Common Stock
|
3375000
|
(5)
|
D
(10)
|
|
Explanation of Responses:
|
(
1)
|
These shares are owned indirectly by Johannes C.L. Mol. All other Reporting Owners (other than Green Desert N.V., a
Netherlands Antilles corporation wholly-owned by Johannes C.L. Mol) disclaim beneficial ownership of these shares.
|
(
2)
|
Held by Green Desert N.V.
|
(
3)
|
These shares are owned directly by Green Desert N.V. All other Reporting Owners (other than Johannes C.L. Mol) disclaim
beneficial ownership of these shares.
|
(
4)
|
These shares are owned directly by Walter J.M. van der Mee. All other Reporting Owners disclaim beneficial ownership of
these shares.
|
(
5)
|
Each share of the Series C Preferred Stock will be convertible at the option of the holder thereof into 2,500 shares of
Common Stock, at any time or from time to time following the authorization and reservation of a sufficient number of shares
of Common Stock, and each share of the Series C Preferred Stock will automatically be converted into 2,500 shares of Common
Stock ninety days following the authorization and reservation of a sufficient number of shares of Common Stock.
|
(
6)
|
No expiration date.
|
(
7)
|
These shares are owned indirectly by Johannes C.L. Mol. All other Reporting Owners (other than Green Desert N.V.) disclaim
beneficial ownership of these shares.
|
(
8)
|
Held by Green Desert N.V.
|
(
9)
|
These shares are owned directly by Green Desert N.V. All other Reporting Owners (other than Johannes C.L. Mol) disclaim
beneficial ownership of these shares.
|
(
10)
|
These shares are owned directly by Walter J.M. van der Mee. All other Reporting Owners disclaim beneficial ownership of
these shares.
|
Remarks:
Cornelis J.M. Borst (the "Reporting Person") is executing this Form 3 on behalf of the individuals and entities listed on
Exhibit 99.01 hereto (the "Reporting Owners"), each of whom has authorized the Reporting Person to do so. Each Reporting
Owner may be deemed to be a member of a group within the meaning of Section 13(d)(3) of the Exchange Act that owns more than
10% of the issuer's outstanding stock. This Statement shall not be deemed an admission that such Reporting Owner is a member
of a group or the beneficial owner of any securities not directly owned by such Reporting Owner, except as otherwise
expressly stated in this Statement. The Reporting Person has been informed that the electronic filing system of the
Securities and Exchange Commission will not accept more than ten joint filers. Accordingly, the holdings of the Reporting
Owners are being reported on two Form 3s.
Exhibit List
Exhibit 24.09 Limited power of attorney - Johannes C.L. Mol.
Exhibit 24.10 Limited power of attorney - Green Desert N.V.
Exhibit 24.11 Limited power of attorney - Walter J.M. van der Mee.
Exhibit 99.01 Joint Filer Information.
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
Director
|
10% Owner
|
Officer
|
Other
|
Borst Cornelis J.M.
BOKSHEIDE 20
EERSEL, P7 5521 PM
|
|
X
|
|
|
Mol Johannes C.L.
KAYA WFG MENSING 14
P.O. BOX 3192
WILLEMSTAD, P7 CURACAO
|
|
X
|
|
|
Green Desert N.V.
KAYA WFG MENSING 14
P.O. BOX 3192
WILLEMSTAD, P7 CURACAO
|
|
X
|
|
|
van der Mee Walter J.M.
OUDE HUIZERWEG 17
BLARICUM, P7 1261 BD
|
|
X
|
|
|
Signatures
|
/s/ Cornelis J.M. Borst
|
|
5/30/2008
|
**
Signature of Reporting Person
|
Date
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
|
*
|
If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
|
**
|
Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
|
Note:
|
File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
|
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
|
Lithium Technology (CE) (USOTC:LTHUQ)
Gráfica de Acción Histórica
De May 2024 a Jun 2024
Lithium Technology (CE) (USOTC:LTHUQ)
Gráfica de Acción Histórica
De Jun 2023 a Jun 2024
Real-Time news about Lithium Technology Corporation (CE) (OTCMarkets): 0 recent articles
Más de Lithium Technology Corp Artículos de Noticias