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Harader Michael H – ‘4’ for 3/29/01 re: H E R C Products Inc.

As of:  Tuesday, 5/8/01   ·   For:  3/29/01   ·   Accession #:  950147-1-500834   ·   File #:  1-13012

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 5/08/01  Harader Michael H                 4          Officer     1:8K   H E R C Products Inc.             Imperial Fin’l … Corp/FA

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Form 4 of Michael H. Harader                           2     12K 

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------ ------------------------------------- FORM 4 OMB APPROVAL ------ ------------------------------------- [ ] Check this box if no longer OMB Number 3235-0287 subject to Section 16. Form 4 Expires: December 31, 2001 or Form 5 obligations may Estimated average burden continue. See Instruction 1(b). hours per response............. 0.5 ------------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 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(f) of the Investment Company Act of 1940 ================================================================================ 1. Name and Address of Reporting Person* Harader Michael H. -------------------------------------------------------------------------------- (Last) (First) (Middle) H.E.R.C. Products Incorporated 2515 West Melinda Lane, Suite A -------------------------------------------------------------------------------- (Street) Phoenix Arizona 85027 -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Issuer Name and Ticker or Trading Symbol H.E.R.C. Products Incorporated (HERC) ================================================================================ 3. IRS Or Social Security Number of Reporting Person (Voluntary) ================================================================================ 4. Statement for Month/Year March 2001 ================================================================================ 5. If Amendment, Date of Original (Month/Year) ================================================================================ 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ ] Director [ ] 10% Owner [X] Officer (give title below) [ ] Other (specify below) Chief Financial Officer ---------------------------------- ================================================================================ 7. 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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Form 4 (continued) [Enlarge/Download Table] =============================================================================================================== TABLE I--NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED =============================================================================================================== 1.Title of 2. Trans- 5. Amount of 6. Owner- Security action 3. Trans- 4. Securities Acquired (A) Securities ship (Instr. 3) Date action or Disposed of (D) Beneficially Form: 7. Nature of (Month/ Code (Instr. 3, 4 and 5) Owned at Direct Indirect Day/ (Instr. 8) ---------------------- End of Month (D) or Beneficial Year) ---------- (A) or (Instr. 3 and 4) Indirect I) Ownership Code V Amount (D) Price (Instr. 4) (Instr. 4) --------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- =============================================================================================================== =============================================================================================== Table II--DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities) =============================================================================================== 1. Title of Derivative 2. Conver- 3. Trans- 4. Transac- 5. Number of Derivative Security (Instr. 3) sion or action tion Securities Acquired Exercise Date Code (A) or Disposed Price of (Month/ (Instr. 8) of (D)(Instr. 3,4, and 5) Derivative Day/ ----------- ------------------------- Security Year) Code V (A) (D) ----------------------------------------------------------------------------------------------- Employee Stock Option (Right to Buy) $.19 3/29/01 A V 40,000 ----------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------- =========================================================================================================== 6. Date Exercisable 9. Number and Expiration 7. Title and Amount of of Derivative 10. Ownership Date (Month/ Underlying Securities ative Form of Day/Year) (Instr. 3 and 4) Securities Derivative 11. Nature of ---------------- -------------------- 8. Price of Beneficially Security: Indirect Date Expira- Amount or Derivative Owned at Direct (D) Beneficial Exer- tion Number of Security End of Month or Indirect Ownership cisable Date Title Shares (Instr.5) (Instr. 4) (I)(Instr.4) (Instr.4) ----------------------------------------------------------------------------------------------------------- Common 3/29/01 3/31/10 Stock 40,000 40,000 D ----------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------- =========================================================================================================== Explanation of Responses: /s/ Michael H. Harader May 4, 2001 ------------------------------- ----------------- **Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Dates Referenced Herein   and   Documents Incorporated by Reference

Referenced-On Page
This ‘4’ Filing    Date First  Last      Other Filings
12/31/01110KSB40,  ARS
Filed on:5/8/014
5/4/012
For Period end:3/29/014
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Filing Submission 0000950147-01-500834   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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