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, 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. | 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 | 10/18/2017 | 10/18/2024 | Common Stock | 900,000 | $ 0.25 | D (1) | Â |
Warrant to Purchase Common Stock | 02/23/2017 | 02/23/2024 | Common Stock | 571,428 | $ 0.35 | D (1) | Â |
Series B Convertible Preferred Stock | Â (2) | Â (2) | Common Stock | 900,000 | $ 0.25 | D (1) | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
NOVIT, L.P. 966 HUNGERFORD DRIVE ROCKVILLE,, MD 20850 |
 |  X |  |  |
Novit U.S., Inc. 966 HUNGERFORD DRIVE ROCKVILLE,, MD 20850 |
 |  X |  |  |
Kusmierz Katarzyna 966 HUNGERFORD DRIVE ROCKVILLE,, MD 20850 |
 |  X |  |  |
/s/ Francis Patrick Ostronic, VP | 10/23/2017 | |
**Signature of Reporting Person | Date | |
/s/ Katarzyna Kusmierz | 10/23/2017 | |
**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) | Represents securities directly owned by Novit, L.P. ("Novit"). Each of the other Reporting Persons are indirect beneficial owners of such securities as follows: Novit U.S., Inc. is the general partner of Novit, and Katarzyna Kusmierz is the trustee of the NAP Trust, which indirectly owns all of the outstanding partnership interests in Novit. |
(2) | The Series B Convertible Preferred Stock will automatically convert into Common Stock on the date the Issuer effects an increase of its authorized shares of Common Stock and/or a reverse stock split so that it has a sufficient number of authorized and unissued shares of Common Stock to permit the conversion or exercise, as applicable of all outstanding shares of Series B Convertible Preferred Stock, warrants, options and other convertible securities of the Issuer. |