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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Bingham Bradly Matthew 2038 CORTE DEL NOGAL SUITE 110 CARLSBAD, CA 92008 |
X | Chief Executive Officer |
Brad M. Bingham | 11/23/2010 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | On November 17, 2010, CoConnect, Inc. (the "Company") issued its Chief Executive Officer, Brad M. Bingham, a convertible promissory note in the amount of $16,860 (the "Note"). In connection with the Note, the Company entered into a security agreement (the "Security Agreement") with Mr. Bingham. Pursuant to the terms of the Note and Security Agreement, Mr. Bingham was issued 1,500,000,000 shares of the Company's Common Stock (the "Security Shares" which are the subject of this Form 4) which are to be held as security and collateral against either the repayment or conversion of the Note. The complete terms and conditions of the Note and Security Agreement can be reviewed in the Company's Form 10-Q for the period ending September 30, 2010 filed with the United States Securities and Exchange Commission (www.sec.gov) on November 18, 2010. |