0001140361-12-026576.txt : 20120521 0001140361-12-026576.hdr.sgml : 20120521 20120521165145 ACCESSION NUMBER: 0001140361-12-026576 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120517 FILED AS OF DATE: 20120521 DATE AS OF CHANGE: 20120521 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHROTRIYA RAJESH C CENTRAL INDEX KEY: 0001287753 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32302 FILM NUMBER: 12859414 MAIL ADDRESS: STREET 1: 707 EAGLE VIEW BLVD STE 414 STREET 2: C/O ANTARES PHARMA INC CITY: EXTON STATE: PA ZIP: 19341 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ANTARES PHARMA, INC. CENTRAL INDEX KEY: 0001016169 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411350192 STATE OF INCORPORATION: DE FISCAL YEAR END: 1208 BUSINESS ADDRESS: STREET 1: 250 PHILLIPS BLVD STREET 2: SUITE 290 CITY: EWING STATE: NJ ZIP: 08618 BUSINESS PHONE: 609-359-3020 MAIL ADDRESS: STREET 1: 250 PHILLIPS BLVD STREET 2: SUITE 290 CITY: EWING STATE: NJ ZIP: 08618 FORMER COMPANY: FORMER CONFORMED NAME: ANTARES PHARMA INC DATE OF NAME CHANGE: 20060120 FORMER COMPANY: FORMER CONFORMED NAME: ANTARES PHARMA INC DATE OF NAME CHANGE: 20020520 FORMER COMPANY: FORMER CONFORMED NAME: ANTARES PHARMA INC /MN/ DATE OF NAME CHANGE: 20010604 4 1 doc1.xml FORM 4 X0305 4 2012-05-17 0 0001016169 ANTARES PHARMA, INC. AIS 0001287753 SHROTRIYA RAJESH C C/O ANTARES PHARMA, INC. 100 PRINCETON SOUTH, SUITE 300 EWING NJ 08628 1 0 0 0 Common Stock 2012-05-17 4 A 0 47070 A 177628 D Represents grant of shares of restricted common stock, par value $0.01 per share, issued under the Antares Pharma, Inc. 2008 Equity Compensation Plan. 30,914 shares were issued in lieu of the Director's annual grant of options and 16,156 shares were issued in lieu of the Director's annual cash compensation. The shares vest after one year. Not applicable. Robert F. Apple as attorney-in-fact for Rajesh C. Shrotriya 2012-05-21