0001513160-11-000026.txt : 20110524 0001513160-11-000026.hdr.sgml : 20110524 20110524195044 ACCESSION NUMBER: 0001513160-11-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110520 FILED AS OF DATE: 20110524 DATE AS OF CHANGE: 20110524 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DUBE ANSHUMAN CENTRAL INDEX KEY: 0001223658 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-08092 FILM NUMBER: 11869274 MAIL ADDRESS: STREET 1: 555 SOUTH FLOWER ST STREET 2: SUITE 4500 CITY: LOS ANGELES STATE: CA ZIP: 90071 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: 468 N. CAMDEN DR. STREET 2: 2ND FLOOR CITY: BEVERLY HILLS STATE: CA ZIP: 90210 BUSINESS PHONE: (310) 551-4020 MAIL ADDRESS: STREET 1: 468 N. CAMDEN DR. STREET 2: 2ND FLOOR CITY: BEVERLY HILLS STATE: CA ZIP: 90210 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2011-05-20 0 0000109657 OXIS INTERNATIONAL INC OXIS.OB 0001223658 DUBE ANSHUMAN 10880 WILSHIRE BOULEVARD, SUITE 950 LOS ANGELES CA 90024 1 0 0 0 12% Convertible Debenture due 2012 0.1 2011-05-20 4 P 0 25000 25000 A 2011-05-20 2012-04-15 Common Stock 250000 250000 I Theorem Group, LLC The reporting person is a managing director of Theorem Group, LLC, and disclaims beneficial ownership of the securities held by Theorem Group, LLC, except to the extent of his pecuniary interest therein. /s/ Anshuman Dube 2011-05-24