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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Advanced Life Sciences Holdings, Inc. [ ADLS ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 07/07/2010 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | 07/07/2010 | P(1)(2) | 1,190,000 | A | $0.042 | 1,290,000 | I | 1,270,000 By Self as Trustee of Richard A Reck Trust; 20,000 by Self as Trustee of Daniel Reck Trus |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 | ||||||||
Common Stock Warrant | $0.042 | 07/07/2010 | P(1)(2) | 1,190,000 | 01/07/2011 | 07/07/2015 | Common Stock | 1,190,000 | $0 | 1,190,000 | I | By Self as Trustee of the Richad A Reck Trust | |||
Unit Warrant | $4.2 | 07/07/2010 | P(1)(2) | 11,900 | (1)(2) | (1)(2) | Units(3) | 11,900 | $0 | 11,900 | I | By Self as Trustee of the Richard A. Reck Trust |
Explanation of Responses: |
1. On July 7, 2010, Mr. Reck purchased at a price of $4.20 per unti, 11,900 units consisting of, in the aggregate, (i) 1,190,000 shares of the Company's common stock, (ii) warrants to purchsae 1,190,000 shares of common stock at an exercise price of $0.042 per share (the "Stock Warrants") and (iii) warrants to purchase an additional 11, 900 units, with each unit consisting of 100 shares of common stock and 100 Stock Warrants, at an exercise price of $4.20 per additional unit (the "Unit Warrants". |
2. The Stock Warrants may be exercised at any time during the period commening six months after the closing date and ending on the fifth anniversary of the closing date. The Unit Warrants may be exercised at any time during the period commencing on the closing date and ending on the earlier of: (i) the date that is 45 days after the Company's first public announcement that the FDA has accepted the Company's Special Protocol Assessment relating to the additional clinical data needed for regulatory approval in the treatment of community acquired bacterial pneumonia and (ii) December 31, 2010. |
3. Each Unit consists of 100 shares of common stock and 100 Stock Warrants. |
/s/ Patrick W. Flavin, by power of attorney | 07/09/2010 | |
** 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. | ||
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 Number. |