Pediatric Prosthetics Inc - Statement of Changes in Beneficial Ownership (4)
22 February 2008 - 7:56AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Expires:
January 31, 2008
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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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Putback-Bean Linda
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2. Issuer Name
and
Ticker or Trading Symbol
PEDIATRIC PROSTHETICS INC
[
PDPR.OTCBB
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
President and CEO
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(Last)
(First)
(Middle)
12926 WILLOW CHASE
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3. Date of Earliest Transaction
(MM/DD/YYYY)
2/10/2008
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(Street)
HOUSTON, TX 77070
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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COMMON STOCK
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2/10/2008
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J
(1)
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4000000
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A
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$0.015
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34210251
(2)
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D
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SERIES A PREFERRED STOCK
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10/10/2003
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J
(2)
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900000
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A
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$0.001
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900000
(2)
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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The Registrant previously issued an aggregate of 27,000,000 shares of the Registrant's common stock to Linda Putback-Bean on or around December 21, 2004, in consideration for services rendered as the Registrant's President and Director; Ms. Putback-Bean agreed to cancel 4,000,000 of these shares on or around September 30, 2005, to reduce the number of issued shares of the Registrant and to increase the number of authorized but unissued shares of the Registrant; the Registrant subsequently agreed to re-issue these cancelled shares to Ms. Putback-Bean on February 10, 2008, which shares were reissued on or around February 12, 2008. Mrs. Putback-Bean's husband, the Vice President, Chief Financial Officer and Director of the Registrant is deemed to beneficially own all of the shares of stock held by Mrs. Putback-Bean.
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(
2)
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Linda Putback-Bean beneficially owns 52,210,251 shares of the Registrant's voting stock, which represents 34,210,251 shares of common stock and 900,000 shares of the Registrant's Series A Preferred Stock, which are able to vote an aggregate of 18,000,000 shares of common stock (with each share of Series A Preferred Stock being able to vote 20 shares), and which are able to convert at the option of the holder into 900,000 shares of common stock. Mrs. Putback-Bean's husband, the Vice President, Chief Financial Officer and Director of the Registrant is deemed to beneficially own all of the shares of stock held by Mrs. Putback-Bean.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Putback-Bean Linda
12926 WILLOW CHASE
HOUSTON, TX 77070
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X
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X
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President and CEO
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Signatures
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/s/ Linda Putback-Bean, Director
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2/21/2008
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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