-----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, VxnOu2+DTJH01gFNxo5STE7TlVc7MD+ha5IbSBlL2SFwT42S4g8WsrUSg0YpbB6H VBHKLmUKYTG3+AuhHn/bUQ== 0001005477-05-002556.txt : 20050722 0001005477-05-002556.hdr.sgml : 20050722 20050722173252 ACCESSION NUMBER: 0001005477-05-002556 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050720 FILED AS OF DATE: 20050722 DATE AS OF CHANGE: 20050722 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEINREB MARK CENTRAL INDEX KEY: 0001015279 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10909 FILM NUMBER: 05969874 BUSINESS ADDRESS: STREET 1: C/O BIG CITY BAGELS STREET 2: 99 WOODBURY RD CITY: HICKSVILLE STATE: NY ZIP: 11801 BUSINESS PHONE: 5169325050 MAIL ADDRESS: STREET 1: C/O BIG CITY BAGELS INC STREET 2: 600 THIRD AVE CITY: HICKVILLE STATE: NY ZIP: 11801 4 1 edgar123.xml FORM 4 X0202 4 2005-07-20 0 0000320017 PHASE III MEDICAL INC/DE PHSM 0001015279 WEINREB MARK C/O PHASE III MEDICAL, INC. 330 SOUTH SERVICE ROAD, SUITE 120 MELVILLE NY 11747 1 1 0 0 President & CEO Common Stock, par value $.001 per share 2005-07-20 4 A 0 3000000 A 3040000 D Stock option (right to buy) 0.06 2005-07-20 4 A 0 4000000 0 A 2015-07-20 Common Stock 4000000 4000000 D These shares were granted to Mr. Weinreb pursuant to the terms of the employment agreement between the issuer and Mr. Weinreb, dated February 6, 2003, as amended on July 20, 2005. 2,000,000 of the options vest immediately upon the date of grant and the remainder of the options shall vest in two equal annual installments beginning one year from the date of grant. If Mr. Weinreb pays the exercise price with shares of common stock, the plan committee appointed by the Board of Directors may, in its discretion, grant Mr. Weinreb an option with a reload feature. A reload stock option, which will be granted at the same time that payment is received on the option exercise, will grant Mr. Weinreb the option to purchase (i) the number of shares of common stock equal to the sum of the number of shares used to exercise the option (or the number of shares not received if Mr. Weinreb paid the option price by receiving a reduced number of shares on exercise), or (ii) in the case of non-qualified stock options, the number of shares of common stock used to satisfy any tax withholding requirement related to the exercise of such option. The term of a reload option will be equal to the remaining term of the option which gave rise to the reload option. /s/ Mark Weinreb 2005-07-20 -----END PRIVACY-ENHANCED MESSAGE-----