-----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, JfzXglUy3fzRNkyUsAwcZHy/7D8OlbUIT5NSTUONqK7Sy3IhR95/6GxADrPSmcVS xxcsweI4XVZyrIfhqRPc6g== 0001157523-05-007618.txt : 20050818 0001157523-05-007618.hdr.sgml : 20050818 20050818170849 ACCESSION NUMBER: 0001157523-05-007618 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050816 FILED AS OF DATE: 20050818 DATE AS OF CHANGE: 20050818 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: MARASCO WAYNE A CENTRAL INDEX KEY: 0001242548 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10909 FILM NUMBER: 051036446 BUSINESS ADDRESS: STREET 1: CORNICHE GROUP INC STREET 2: 330 SOUTH SERVICE RD. CITY: MELVILLE STATE: NY ZIP: 11747 4 1 a4955934_ex.xml X0202 4 2005-08-16 0 0000320017 PHASE III MEDICAL INC/DE PHSM.OB 0001242548 MARASCO WAYNE A C/O PHASE III MEDICAL, INC. 330 SOUTH SERVICE ROAD, SUITE 120 MELVILLE NY 11747 1 1 0 0 Senior Scientific Advisor Common Stock, $.001 par value 2005-08-16 4 P 0 833333 .06 A 1333333 I By Trust Common Stock, $.001 par value 250000 D /s/ Catherine M. Vaczy as Attorney-in-Fact 2005-08-18 -----END PRIVACY-ENHANCED MESSAGE-----