SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
SCHWARTZ MARK N

(Last) (First) (Middle)
2915 WATERS ROAD, SUITE 108

(Street)
EAGAN MN 55121

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
HYPERTENSION DIAGNOSTICS INC /MN [ HDII ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
03/31/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
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 Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/31/2005 C 203,559 A $0.17 1,020,086 D
Common Stock 03/31/2005 C 52,926 A $0.17 1,073,012 D
Common Stock 03/31/2005 A(4) 1,600,000 A (4) 2,673,012 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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Preferred Stock $1.68 (1) (2) Common Stock 25,600 25,600 D
Common Stock Warrant(3) $0.22 08/28/2003 06/15/2005 Common Stock 325,694 325,694 D
Common Stock Warrant(3) $0.3 08/28/2003 08/28/2008 Common Stock 284,982 284,982 D
Series A Preferred Stock Warrant(3) $2.64 08/28/2003 06/15/2005 Series A Preferred Stock 20,480 20,480 D
Series A Preferred Stock Warrant(3) $3.6 08/28/2003 08/28/2008 Series A Preferred Stock 17,920 17,920 D
Series A Preferred Stock $1.68 (1) (2) Common Stock 6,656 6,656 D
Common Stock Warrant(3) $0.17 03/31/2005 C 52,926 02/09/2004 07/31/2005 Common Stock 52,926 $0 52,925 D
Common Stock Warrant(3) $0.22 02/09/2004 08/09/2005 Common Stock 84,681 84,681 D
Common Stock Warrant(3) $0.3 02/09/2004 02/09/2009 Common Stock 74,096 74,096 D
Series A Preferred Stock Warrant(3) $2.04 03/31/2005 C 3,328 02/09/2004 07/31/2005 Series A Preferred Stock 3,328 $0 3,328 D
Series A Preferred Stock Warrant(3) $2.64 02/09/2004 08/09/2005 Series A Preferred Stock 5,325 5,325 D
Series A Preferred Stock Warrant(3) $3.6 02/09/2004 02/09/2009 Series A Preferred Stock 4,660 4,660 D
Common Stock Warrant(3) $0.17 03/31/2005 C 203,559 08/28/2003 04/29/2005 Common Stock 203,559 $0 0 D
Series A Preferred Stock Warrant(3) $2.04 03/31/2005 C 12,800 08/28/2003 04/29/2005 Series A Preferred Stock 12,800 $0 0 D
Sereis A Preferred Stock $2.04 (1) (2) Common Stock 12,800 12,800 D
Series A Preferred Stock $2.04 03/31/2005 C 12,800 (1) (2) Common Stock 12,800 $0 12,800 D
Series A Preferred Stock $2.04 03/31/2005 C 3,328 (1) (2) Common Stock 3,328 $0 3,328 D
Explanation of Responses:
1. Immediately exercisable.
2. No expiration date.
3. Right to buy.
4. Bonus paid to Reporting Person in the form of Issuer's Common Stock. Price is not applicable.
/s/ Douglas T. Holod, as attorney-in-fact 04/04/2005
** 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.
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