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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
10% Convertible Note | $ 0.088 | 07/24/2014 | D | 220,349 | 07/01/2014 | (1) | Common Stock | 2,503,966 (2) | $ 220,349 | 0 | D | ||||
Common Stock Purchase Warrant | $ 0.132 | 07/24/2014 | A | 1,251,983 | 07/24/2014 | 07/24/2021 | Common Stock | 1,251,983 | (2) | 5,501,983 (3) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Shah Chetan 8910 UNIVERSITY CENTER LANE SUITE 660 SAN DIEGO, CA 92122 |
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/s/ Chetan S. Shah | 07/28/2014 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Not applicable. |
(2) | In addition to the shares of Common Stock issued upon conversion of the note, Dr. Shah received a warrant to purchase up to 1,251,983 shares of Common Stock at an exercise price of $0.132 per share. |
(3) | Also includes warrants to purchase Common Stock as follows: 937,500 shares at $0.125 per share, 1,111,111 shares at $0.108 per share, 534,723 shares at $0.12 per share, 666,667 shares at $0.093 per share, 333,333 shares at $0.096 per share, 333,333 shares at $0.115 per share and 333,333 shares at $0.121 per share. |