0000914190-15-000218.txt : 20150514
0000914190-15-000218.hdr.sgml : 20150514
20150514170804
ACCESSION NUMBER: 0000914190-15-000218
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150512
FILED AS OF DATE: 20150514
DATE AS OF CHANGE: 20150514
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NEPHROS INC
CENTRAL INDEX KEY: 0001196298
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 133971809
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 41 GRAND AVENUE
CITY: RIVER EDGE,
STATE: NJ
ZIP: 07661
BUSINESS PHONE: 201.343.5202
MAIL ADDRESS:
STREET 1: 41 GRAND AVENUE
CITY: RIVER EDGE,
STATE: NJ
ZIP: 07661
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PERSEN MALCOLM C
CENTRAL INDEX KEY: 0001287975
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32288
FILM NUMBER: 15863897
MAIL ADDRESS:
STREET 1: NEPHROS, INC.
STREET 2: 41 GRAND AVE.
CITY: RIVER EDGE
STATE: NJ
ZIP: 07661
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2015-05-12
0001196298
NEPHROS INC
NEPH
0001287975
PERSEN MALCOLM C
C/O NEPHROS, INC.
41 GRAND AVENUE
RIVER EDGE
NJ
07661
1
0
0
0
Common Stock
2015-05-12
4
P
0
31160
A
31160
I
By spouse
Stock Option (Right to Buy)
.79
2025-05-07
Common Stock
56981
56981
D
Warrants (right to buy)
.85
2015-05-12
4
P
0
15580
A
2015-05-12
2020-05-18
Common Stock
15580
15580
I
By spouse
The reported securities have a purchase price of $0.67 per share of Common Stock. In addition, the reporting person received a Warrant to purchase a number of shares of Common Stock equal to 50% of the number of shares of Common Stock otherwise purchased. The reporting person purchased 31,160 shares of Common Stock and was issued related Warrants to acquire up to 50% of the number of shares of Common Stock (i.e., 15,580 Warrants).
On May 7, 2015, the Company granted to Mr. Persen an option to purchase 56,981 shares of common stock of the Company, of which one-third vested immediately upon the grant date, one-third will vest on the first anniversary of the grant date, and the remaining one-third will vest on the second anniversary of the grant date.
/s/ Amanda Lorentz as attorney-in-fact for Malcolm Persen pursuant to power of attorney previously filed.
2015-05-14