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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 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 | ||||||||
Senior Secured Exchangeable Convertible Note | $ 5.64 (1) | 03/11/2005 | S | 1 (1) | 03/11/2005 | 03/15/2007 | Common Stock | 525,000 (1) | $ 3,000,000 (2) | 0 (1) | D (1) | ||||
Senior Secured Exchangeable Convertible Note | $ 5.64 (1) | 03/11/2005 | S | 1 (1) | 03/11/2005 | 03/15/2007 | Common Stock | 525,000 (1) | $ 3,000,000 (2) | 0 (1) | D (1) | ||||
Senior Secured Exchangeable Convertible Note | $ 5.64 (1) | 03/11/2005 | S | 1 (1) | 03/11/2005 | 03/15/2007 | Common Stock | 350,000 (1) | $ 2,000,000 (2) | 0 (1) | D (1) | ||||
Senior Secured Exchangeable Convertible Note | $ 5.64 (1) | 03/11/2005 | S | 1 (1) | 03/11/2005 | 03/15/2007 | Common Stock | 350,000 (1) | $ 2,000,000 (2) | 0 (1) | D (1) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MICROVISION INC 19910 NORTH CREEK PARKWAY BOTHELL, WA 98011 |
X |
/s/ Thomas M. Walker | 03/15/2005 | |
**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) | Microvision, Inc. (the "Company") has sold to four institutional investors senior secured exchangeable convertible notes (the "Notes") which are exchangeable into shares of common stock of Lumera Corporation ("Lumera") owned by the Company (the "Lumera Shares") based on a fixed exchange price of $5.64 per share. Under certain circumstances, the Company may repay principal on the Notes with the Lumera Shares. If so, such payment will be issued at a 10% discount to the arithmetic average of the volume-weighted average prices of the 15 trading days prior to the payment date. The maximum number of Lumera Shares available for exchange and for repayment of principal is 1,750,000 shares. |
(2) | Principal amount of Note. |