-----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, QjZOUgyk5UwTwnyDlg1yYNT8GZ+bAWctVu8LBhlwFB01D4gsoZkQBr2F6lkbjvNq /yVldX++rJ0+zy8/77l/UA== 0001005477-04-004030.txt : 20041115 0001005477-04-004030.hdr.sgml : 20041115 20041115142907 ACCESSION NUMBER: 0001005477-04-004030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041111 FILED AS OF DATE: 20041115 DATE AS OF CHANGE: 20041115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MARASCO WAYNE A CENTRAL INDEX KEY: 0001242548 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10909 FILM NUMBER: 041144089 BUSINESS ADDRESS: STREET 1: CORNICHE GROUP INC STREET 2: 330 SOUTH SERVICE RD. CITY: MELVILLE STATE: NY ZIP: 11747 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PHASE III MEDICAL INC/DE CENTRAL INDEX KEY: 0000320017 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE CARRIERS, NEC [6399] IRS NUMBER: 222343568 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 330 SOUTH SERVICE ROAD STREET 2: SUITE 120 CITY: MELVILLE STATE: NY ZIP: 11747 BUSINESS PHONE: 6315744955 MAIL ADDRESS: STREET 1: 330 SOUTH SERVICE ROAD STREET 2: SUITE 120 CITY: MELVILLE STATE: NY ZIP: 11747 FORMER COMPANY: FORMER CONFORMED NAME: CORNICHE GROUP INC /DE DATE OF NAME CHANGE: 19951117 FORMER COMPANY: FORMER CONFORMED NAME: FIDELITY MEDICAL INC DATE OF NAME CHANGE: 19951025 FORMER COMPANY: FORMER CONFORMED NAME: FIDELITY MEDICAL SERVICES INC DATE OF NAME CHANGE: 19830825 4 1 edgar123.xml FORM 4 X0202 4 2004-11-11 0 0000320017 PHASE III MEDICAL INC/DE PHSM 0001242548 MARASCO WAYNE A C/O PHASE III MEDICAL, INC. 330 SOUTH SERVICE ROAD, SUITE 120 MELVILLE NY 11747 1 0 0 0 Options (right to buy) 0.10 2004-11-11 4 A 0 675000 0 A 2004-11-11 2014-11-11 Common Stock, par value $.001 per share 675000 675000 D /s/ Wayne Marasco 2004-11-15 -----END PRIVACY-ENHANCED MESSAGE-----