| FORM 5 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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 |
|
|||||||||||||||
|
|
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | ||||||||||||||||
|
|
Form 3 Holdings Reported. | ||||||||||||||||
|
Form 4 Transactions Reported. | ||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
HIENERGY TECHNOLOGIES INC [ HIET ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
||||||||||||||||||||||||
| 3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year)
04/30/2006 |
||||||||||||||||||||||||||
| 4. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check Applicable Line)
|
|||||||||||||||||||||||||
| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
| Amount | (A) or (D) | Price | |||||||||||||
| Common Stock, par value $0.001 | 10/13/2005 | A4 | 5,000 | A | $0.65 ( 1 ) | 214,501 | D | ||||||||
| Common Stock, par value $0.001 | 12/13/2005 | A4 | 5,000 | A | $0.5 ( 1 ) | 219,501 | D | ||||||||
| Common Stock, par value $0.001 | 01/05/2006 | A4 | 10,000 | A | $0.47 ( 1 ) | 229,501 | D | ||||||||
| Common Stock, par value $0.001 | 01/25/2006 | A4 | 10,000 | A | $0.42 ( 1 ) | 239,501 | D | ||||||||
| Common Stock, par value $0.001 | 04/06/2006 | A4 | 5,000 | A | $0.35 ( 1 ) | 244,501 | D | ||||||||
| Common Stock, par value $0.001 | 06/05/2006 | A4 | 5,000 | A | $0.44 ( 1 ) | 249,501 ( 2 ) | D | ||||||||
|
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities) |
||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
| Non-qualified Option | $0.68 | 08/05/2005 | 4A | 100,000 | ( 3 ) | 08/05/2011 | Common Stock | 100,000 | $0 ( 4 ) | 100,000 ( 2 ) | D | |||
| Non-qualified Option | $0.65 | 11/07/2005 | 4A | 15,000 | ( 5 ) | 11/07/2011 | Common Stock | 15,000 | $0 ( 6 ) | 15,000 ( 2 ) | D | |||
| Non-qualified Option | $0.3 | 11/07/2005 | 4A | 100,000 | ( 7 ) | 08/07/2012 | Common Stock | 100,000 | $0 ( 4 ) | 100,000 ( 2 ) | D | |||
| Warrants | $0.6 | 04/13/2006 | 4P | 12,600 | 03/17/2006 | 03/17/2009 | Common Stock | 12,600 | $0 ( 8 ) | 12,600 ( 2 ) | D | |||
| Series B-1 Warrants | $0.45 | 06/30/2006 | 4P | 35,647 | 06/30/2006 | 06/30/2011 | Common Stock | 35,647 | $0 ( 9 ) | 35,647 ( 2 ) | D | |||
| Series B-2 Warrants | $0.6 | 06/30/2006 | 4P | 23,765 | 06/30/2006 | 06/30/2011 | Common Stock | 23,765 | $0 ( 9 ) | 23,765 ( 2 ) | D | |||
| Series B Convertible Preferred Stock | $0.3 | 06/30/2006 | 4P | 3.56 | 06/30/2006 | 06/30/2011 | Common Stock | 118,666 | $0 ( 9 ) | 3.56 ( 2 ) | D | |||
| Explanation of Responses: |
| 1. Shares granted for attendance at Directors' meeting for HiEnergy Technologies on the date specified (2A) |
| 2. This line reports end of period holdings in specified class of securities. |
| 3. 50% exercisable 2/5/2006, all exercisable 8/5/2006, if vested. |
| 4. Annual option grant for services as Director of HiEnergy Technologies exercisable at market price of common stock on grant date. |
| 5. 50% exercisable 5/7/2006, all exercisable 11/7/2006, if vested. |
| 6. Annual option grant for services on Compensation Committee of HiEnergy Technologies, exercisable at market price of common stock on grant date. |
| 7. 50% exercisable 2/7/2007, all exercisable 8/7/2007, if vested. |
| 8. Warrants issued in connection with issuance of convertible promissory note. |
| 9. Shares or warrants issued in connection with conversion of promissory note. |
| William A. Nitze | 08/15/2006 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * 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). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| 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 Number. | ||