-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BWTkHnvF8znCge/OigI4/WFCqcHF/6xRsS9qW/cyytM1mvWwhjExLygQOOF5LUza QxifLoXt90zVQLxFecoNUw== 0001181431-04-025639.txt : 20040512 0001181431-04-025639.hdr.sgml : 20040512 20040512174200 ACCESSION NUMBER: 0001181431-04-025639 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040510 FILED AS OF DATE: 20040512 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: 000-20945 FILM NUMBER: 04800365 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: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 707 EAGLEVIEW BOULEVARD STREET 2: SUITE 414 CITY: EXTON STATE: PA ZIP: 19341 BUSINESS PHONE: 610-458-6200 MAIL ADDRESS: STREET 1: 707 EAGLEVIEW BOULEVARD STREET 2: SUITE 414 CITY: EXTON STATE: PA ZIP: 19341 FORMER COMPANY: FORMER CONFORMED NAME: ANTARES PHARMA INC /MN/ DATE OF NAME CHANGE: 20010604 FORMER COMPANY: FORMER CONFORMED NAME: MEDI JECT CORP /MN/ DATE OF NAME CHANGE: 19960605 4 1 rrd42435.xml INITIAL STATEMENT OF BENEFICIAL OWNERSHIP X0202 4 2004-05-10 0 0001016169 ANTARES PHARMA INC ANTR 0001287753 SHROTRIYA RAJESH C 707 EAGLEVIEW BLVD SUITE 414 EXTON PA 19341 1 0 0 0 Option to purchase common shares of Antares Pharma, Inc. 1.01 2004-05-10 4 A 0 500 1.01 A 2005-05-10 2014-05-09 common shares 500 0 D Lawrence M. Christian 2004-05-12 -----END PRIVACY-ENHANCED MESSAGE-----