UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Warrant to Purchase Common Stock | 04/10/2015 | 03/30/2020 | Common Stock | 1,369,169 | $ 0.75 | I | By GJG Life Sciences, LLC (1) |
Class A Convertible Preferred Stock | 07/29/2016 | (3) | Common Stock | 3,950,000 | $ 0.5 | I | By GJG Life Sciences, LLC (1) |
Class A Convertible Preferred Stock | 07/29/2016 | (3) | Common Stock | 950,000 | $ 0.5 | I | By GJG Life Sciences, LLC (1) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Lorenzo Jennifer C/O GJG CAPITAL, LLC 107 CIRCLE ROAD STATEN ISLAND, NY 10304 |
X | |||
GJG Life Sciences, LLC C/O GJG CAPITAL, LLC 107 CIRCLE ROAD STATEN ISLAND, NY 10304 |
X | |||
GJG Capital, LLC 107 CIRCLE ROAD STATEN ISLAND, NY 10304 |
X |
/s/ Jennifer Lorenzo | 03/01/2017 | |
**Signature of Reporting Person | Date | |
/s/ Jennifer Lorenzo, Managing Member of GJG Life Sciences, LLC | 03/01/2017 | |
**Signature of Reporting Person | Date | |
/s/ Jennifer Lorenzo, Managing Member of GJG Capital, LLC | 03/01/2017 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The reported securities are owned directly by GJG Life Sciences, LLC, a limited liability company of which GJG Capital, LLC is the Managing Member. The reporting person is the Managing Member of Life Sciences, LLC and so the reported securities may be deemed to be beneficially owned by GJG Capital, LLC and Jennifer Lorenzo, the Managing Member and President of GJG Capital, LLC. Jennifer Lorenzo and GJG Capital, LLC disclaim beneficial ownership of the reported securities except to the extent of their respective pecuniary interest. |
(2) | The reported securities are owned directly by Jennifer Lorenzo. |
(3) | Converts automatically into Common Stock upon the earlier of (i) notice by the Issuer to the holders that the Issuer elected to convert all outstanding shares of Class A Preferred, (ii) three years from July 29, 2016, (iii) the approval of the Issuer's MAT2203 product candidate by the U.S. Food and Drug Administration or the European Medicines Agency (the "Regulatory Approval") or (iv) the Regulatory Approval of the Issuer's MAT2501 product candidate. |