- Amended Statement of Beneficial Ownership (3/A)
2011年9月20日 - 4:44AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Expires:
November 30, 2011
Estimated average burden
hours per response...
0.5
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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(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Mahdi Kambiz
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2. Date of Event Requiring Statement (MM/DD/YYYY)
6/13/2006
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3. Issuer Name
and
Ticker or Trading Symbol
Probe Manufacturing Inc [PMFI]
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(Last)
(First)
(Middle)
2933 CATALPA ST.
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
Chairman & CEO /
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(Street)
NEWPORT BEACH, CA 92660
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
6/13/2006
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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 Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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250000
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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. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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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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Series A Convertible Preferred Stock
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6/13/2006
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6/5/2007
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Common Stock
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100
(1)
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$0
(2)
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D
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Series C Convertible Preferred Stock
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6/13/2006
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(3)
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Common Stock
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4500
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$0
(4)
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D
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Explanation of Responses:
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(
1)
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The Series A Convedrtible Preferred Stock do not convert at a specific price but rather it is based on a precentage of outstanding shares of common stock at the time of conversion.
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(
2)
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Each share of Series A Convertible Preferred Stock converts into 0.1 percent of the outstanding common stock on the date of conversion.
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(
3)
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The Series C Convertible Preferred Stock have an indefinite date for conversion but are redeemable by the Issuer at any time.
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(
4)
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Each share of the Series C Convertible Preferred Stock converts into a number of shares of common stock that is equal to each share being divided by the average of the 3 lowest intra-day bid prices in the 20 days prior to conversion or $0.10 or 125 shares of common stock per Series C share, whichever is greater.
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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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Mahdi Kambiz
2933 CATALPA ST.
NEWPORT BEACH, CA 92660
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X
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Chairman & CEO
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Signatures
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/s/ Kambiz Mahdi
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9/19/2011
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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 5(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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