- Statement of Changes in Beneficial Ownership (4)
02 Dezember 2008 - 3:48AM
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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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
*
Guez Elizabeth
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2. Issuer Name
and
Ticker or Trading Symbol
BLUE HOLDINGS, INC.
[
BLHI.PK
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
C/O BLUE HOLDINGS, INC., 5804 E. SLAUSON AVENUE
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3. Date of Earliest Transaction
(MM/DD/YYYY)
5/23/2008
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(Street)
COMMERCE, CA 90040
(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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9/23/2008
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J
(1)
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1750000
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D
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$0.8
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2008500
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D
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Common Stock
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9/23/2008
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J
(1)
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1750000
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D
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$0.8
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16028757
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I
(2)
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By Paul Guez, Spouse
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Common Stock
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11/26/2008
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P
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40000
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A
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$0.1325
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16068757
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I
(2)
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By Paul Guez, Spouse
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Common Stock
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12/1/2008
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C
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4623589
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A
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$0.58
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20692346
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I
(2)
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By Paul Guez, Spouse
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Common Stock
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117382
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I
(3)
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By Paul and Beth Guez Living Trust
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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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8% Senior Secured Convertible Note
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$0.4
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9/23/2008
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J
(1)
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1618093
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9/23/2008
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3/1/2011
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Common Stock
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4045233
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(1)
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1618093
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D
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Common Stock Purchase Warrant
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$0.4
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9/23/2008
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J
(1)
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1415832
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9/23/2008
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9/23/2013
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Common Stock
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1415832
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(1)
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1415832
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D
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Series A Convertible Preferred Stock
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$0.58
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12/1/2008
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C
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1000000
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11/28/2007
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(4)
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Common Stock
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4623589
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$2.6816
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0
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I
(2)
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By Paul Guez, Spouse
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Explanation of Responses:
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(
1)
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On September 23, 2008, pursuant to a Settlement Agreement and Mutual Release with the Registrant, the Reporting Person and
her spouse rescinded the conversion on March 5, 2008 of $1,400,000 of indebtedness under a line of credit agreement with the
Reporting Person's spouse into 1,750,000 shares of the Registrant's common stock, the Reporting Person's spouse forgave
$700,000 of indebtedness under the line of credit, the Registrant issued the 8% Senior Secured Convertible Note and the
Warrant jointly to the Reporting Person and her spouse in settlement of all amounts owed to the Reporting Person, her spouse
and their affiliates as of September 23, 2008 (other than certain amounts outside of the line of credit accrued during
fiscal 2008 and set forth in the Settlement Agreement and Mutual Release), and the Registrant, the Reporting Person and her
spouse mutually released each other from existing claims.
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(
2)
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The Reporting Person may be deemed to beneficially own the shares directly held by the Reporting Person's spouse, but
disclaims beneficial ownership in such securities, except to the extent of the Reporting Person's pecuniary interest
therein.
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(
3)
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Each of the Reporting Person and Paul Guez are Co-Trustees of the Living Trust and have voting and dispositive control of the
securities held by the Trust and accordingly may be deemed to beneficially own such securities. The Reporting Person
disclaims beneficial ownership of such securities, except to the extent of the Reporting Person's pecuniary interest
therein.
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(
4)
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The Series A Convertible Preferred Stock has no expiration date.
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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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Guez Elizabeth
C/O BLUE HOLDINGS, INC.
5804 E. SLAUSON AVENUE
COMMERCE, CA 90040
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X
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Signatures
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/s/ Elizabeth Guez
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12/1/2008
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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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