-----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, R2aVJg10C0VPKR2ydd/tTLZ/KEDaS8qzhyF8A0/7ZULzZEyhWxH9JgSyqojkGEcD XrnUM5E0uRUx1Bp1WYdPrg== 0001169232-04-000217.txt : 20040120 0001169232-04-000217.hdr.sgml : 20040119 20040120170547 ACCESSION NUMBER: 0001169232-04-000217 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040115 FILED AS OF DATE: 20040120 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OXIS INTERNATIONAL INC CENTRAL INDEX KEY: 0000109657 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 941620407 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6040 N CUTTER CIRCLE STE 317 CITY: PORTLAND STATE: OR ZIP: 97217 BUSINESS PHONE: 5032833911 MAIL ADDRESS: STREET 1: 6040 N CUTTER CIRCLE STE 317 CITY: PORTLAND STATE: OR ZIP: 97217 FORMER COMPANY: FORMER CONFORMED NAME: DDI PHARMACEUTICALS INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: DIAGNOSTIC DATA INC /DE/ DATE OF NAME CHANGE: 19850312 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAUSMAN MARVIN S MD CENTRAL INDEX KEY: 0001067956 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-08092 FILM NUMBER: 04533146 BUSINESS ADDRESS: STREET 1: 825 THIRD AVE STREET 2: 40TH FL CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 5094275132 MAIL ADDRESS: STREET 1: 825 THIRD AVE STREET 2: 40TH FL CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AXONYX INC CENTRAL INDEX KEY: 0001070698 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-08092 FILM NUMBER: 04533145 BUSINESS ADDRESS: STREET 1: 750 LEXINTTON AVE STREET 2: STE 1400 CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2126884770 MAIL ADDRESS: STREET 1: 750 LEXINGTON AVE STREET 2: STE 1400 CITY: NEW YORK STATE: NY ZIP: 10022 3 1 d04-57955_ex.xml FORM 3 X0201 3 2004-01-15 0 0000109657 OXIS INTERNATIONAL INC OXIS 0001070698 AXONYX INC 500 SEVENTH AVENUE, 10TH FLOOR NEW YORK NY 10018 0 0 1 0 0001067956 HAUSMAN MARVIN S MD 825 THIRD AVE 40TH FL NEW YORK NY 10022 0 1 0 0 Chairman & CEO Common Stock 13912571 D Common Stock 1161532 I See Explanation Axonyx entered into agreements on January 15, 2004 with several stockholders of Oxis to acquire an aggregate of 13,912,571 shares of Oxis common stock in exchange for shares of Axonyx Common Stock, at an effective price of $.586 per share. Marvin S. Hausman, M.D., Chairman and CEO of Axonyx, is an affiliate of Axonyx and beneficially owns 1,161,532 shares of Oxis common stock, and has authorized Axonyx to file this Report on his behalf. Marvin S. Hausman, M.D. 2004-01-20 -----END PRIVACY-ENHANCED MESSAGE-----