-----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, PFdMzFas0xK2rneJ1TgMyGIH6KM7vhsa2RoXzHwc8iSdKe9fuIFfBv7ItX/fTqSM QR8OX281FodgXP0l5n/B+A== 0001157523-06-005867.txt : 20060606 0001157523-06-005867.hdr.sgml : 20060606 20060606160247 ACCESSION NUMBER: 0001157523-06-005867 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060602 FILED AS OF DATE: 20060606 DATE AS OF CHANGE: 20060606 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: 06889409 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: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] 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 a5164321_ex.xml X0202 4 2006-06-02 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 1 0 0 Senior Scientific Advisor Common Stock, par value $.001 per share 2006-06-02 4 A 0 1186713 A 1436713 D Common Stock, par value $.001 per share 1250000 I By Trust Stock option (right to buy) 0.053 2006-06-02 4 A 0 1000000 0 A 2016-06-01 Common Stock 1000000 1000000 D On June 2, 2006, Phase III Medical, Inc. (the "Company") entered into a Stock Purchase Agreement (the "Stock Purchase Agreement") with certain investors listed therein, pursuant to which it agreed to convert the salary of certain officers of the Company into shares of its common stock. Pursuant to the Stock Purchase Agreement, the Company issued to Dr. Marasco 1,186,713 shares of its unregistered common stock, $.001 par value (the "Common Stock") in payment of $52,215.39 in accrued salary at a per share price of $.044. Pursuant to the Stock Purchase Agreement, 33% of these options vest when the Company's cumulative revenue reaches $1,000,000, another 34% will vest when the Company's cumulative revenue reaches $2,000,000, and the final 33% will vest when the Company's cumulative revenue reaches $3,000,000. If Dr. Marasco pays the exercise price with shares of common stock, the option agreement provides that Dr. Marasco shall be granted a "reload" option to purchase the sum of (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 Dr. Marasco paid the option price by receiving a reduced number of shares on exercise), and (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/ Catherine M. Vaczy as attorney-in-fact 2006-06-06 -----END PRIVACY-ENHANCED MESSAGE-----