FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF 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 |
|
1. Name and Address of Reporting Person*
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year)
04/28/2008 |
3. Issuer Name and Ticker or Trading Symbol
LITHIUM TECHNOLOGY CORP [ LTHU ] |
|||||||||||||
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
5. If Amendment, Date of Original Filed
(Month/Day/Year)
|
||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
---|---|---|---|
1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 8,925,000 | I ( 1 ) | See footnote. ( 2 ) |
Common Stock | 8,925,000 | D ( 3 ) | |
Common Stock | 1,500,000 | D ( 4 ) |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities) |
|||||||
---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series C Convertible Preferred Stock | ( 5 ) | ( 6 ) | Common Stock | 41,666,675 | ( 5 ) | I ( 7 ) | See footnote. ( 8 ) |
Series C Convertible Preferred Stock | ( 5 ) | ( 6 ) | Common Stock | 41,666,675 | ( 5 ) | D ( 9 ) | |
Series C Convertible Preferred Stock | ( 5 ) | ( 6 ) | Common Stock | 3,375,000 | ( 5 ) | D ( 10 ) |
1. Name and Address of Reporting Person*
(Street)
|
||||||||||||
1. Name and Address of Reporting Person*
(Street)
|
||||||||||||
1. Name and Address of Reporting Person*
(Street)
|
||||||||||||
1. Name and Address of Reporting Person*
(Street)
|
Explanation of Responses: |
1. These shares are owned indirectly by Johannes C.L. Mol. All other Reporting Owners (other than Green Desert N.V., a Netherlands Antilles corporation wholly-owned by Johannes C.L. Mol) disclaim beneficial ownership of these shares. |
2. Held by Green Desert N.V. |
3. These shares are owned directly by Green Desert N.V. All other Reporting Owners (other than Johannes C.L. Mol) disclaim beneficial ownership of these shares. |
4. These shares are owned directly by Walter J.M. van der Mee. All other Reporting Owners disclaim beneficial ownership of these shares. |
5. Each share of the Series C Preferred Stock will be convertible at the option of the holder thereof into 2,500 shares of Common Stock, at any time or from time to time following the authorization and reservation of a sufficient number of shares of Common Stock, and each share of the Series C Preferred Stock will automatically be converted into 2,500 shares of Common Stock ninety days following the authorization and reservation of a sufficient number of shares of Common Stock. |
6. No expiration date. |
7. These shares are owned indirectly by Johannes C.L. Mol. All other Reporting Owners (other than Green Desert N.V.) disclaim beneficial ownership of these shares. |
8. Held by Green Desert N.V. |
9. These shares are owned directly by Green Desert N.V. All other Reporting Owners (other than Johannes C.L. Mol) disclaim beneficial ownership of these shares. |
10. These shares are owned directly by Walter J.M. van der Mee. All other Reporting Owners disclaim beneficial ownership of these shares. |
Remarks: |
Cornelis J.M. Borst (the "Reporting Person") is executing this Form 3 on behalf of the individuals and entities listed on Exhibit 99.01 hereto (the "Reporting Owners"), each of whom has authorized the Reporting Person to do so. Each Reporting Owner may be deemed to be a member of a group within the meaning of Section 13(d)(3) of the Exchange Act that owns more than 10% of the issuer's outstanding stock. This Statement shall not be deemed an admission that such Reporting Owner is a member of a group or the beneficial owner of any securities not directly owned by such Reporting Owner, except as otherwise expressly stated in this Statement. The Reporting Person has been informed that the electronic filing system of the Securities and Exchange Commission will not accept more than ten joint filers. Accordingly, the holdings of the Reporting Owners are being reported on two Form 3s. Exhibit List Exhibit 24.09 Limited power of attorney - Johannes C.L. Mol. Exhibit 24.10 Limited power of attorney - Green Desert N.V. Exhibit 24.11 Limited power of attorney - Walter J.M. van der Mee. Exhibit 99.01 Joint Filer Information. |
/s/ Cornelis J.M. Borst | 05/30/2008 | |
** 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 5 (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. |