-----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, TG+h3XCjG/ulF2PfTlaiv9Sz87jVaMPAzmBf6dl9AA1xr741/6Vvxf2gc7UHesWk XhZy3YAR+k72+VpCnxvvsg== 0001157523-06-008927.txt : 20060901 0001157523-06-008927.hdr.sgml : 20060901 20060901203026 ACCESSION NUMBER: 0001157523-06-008927 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060830 FILED AS OF DATE: 20060901 DATE AS OF CHANGE: 20060901 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ZUCKERMAN JOSEPH CENTRAL INDEX KEY: 0001277835 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10909 FILM NUMBER: 061072550 MAIL ADDRESS: STREET 1: C/O PHASE III MEDICAL INC STREET 2: 330 SOUTH SERVICE RD STE. 120 CITY: MELVILLE STATE: NY ZIP: 11747 4 1 a5220303_ex.xml X0202 4 2006-08-30 0 0000320017 PHASE III MEDICAL INC/DE PHSM 0001277835 ZUCKERMAN JOSEPH C/O NEOSTEM, INC. 420 LEXINGTON AVENUE, SUITE 450 NEW YORK NY 10170 1 0 0 0 Common Stock, $.001 par value 2006-08-30 4 C 0 284090 .044 A 1069099 D Common Stock, $.001 par value 2006-08-30 4 J 0 56818 A 1125917 D 9% Convertible Promissory Notes due 2006 .06 2006-08-30 4 J 0 208333 A 2006-10-06 Common Stock 208333 208333 D 9% Convertible Promissory Notes due 2006 .06 2006-08-30 4 J 0 208333 D 2006-10-06 Common Stock 208333 208333 D 9% Convertible Promissory Notes due 2006 .044 2006-08-30 4 J 0 284090 A 2006-10-06 Common Stock 284090 284090 D 9% Convertible Promissory Notes due 2006 .044 2006-08-30 4 C 0 284090 D 2006-10-06 Common Stock 284090 0 D Warrants (right to buy) .08 2006-08-30 4 J 0 208333 A 2011-08-30 Common Stock 208333 208333 D On August 30, 2006, Joseph Zuckerman entered into a letter agreement (the "Agreement") with Gilbert Raker, pursuant to which Dr. Zuckerman agreed to purchase a total of $12,500 of principal amount of that certain Convertible Promissory Note (the "Note") made by NeoStem, Inc. (f/k/a/ Phase III Medical, Inc., the "Company") to Mr. Raker on January 6, 2006, in the total principal amount of $25,000. The total consideration paid by Dr. Zuckerman to Mr. Raker pursuant to the Agreement was $12,500. The convertible promissory note is convertible immediately. Pursuant to a special offer made by the Company to all holders of promissory notes issued by the Company in a private placement that took effect in December 2005 and January 2006 (in which Mr. Raker purchased the Note), Dr. Zuckerman executed an agreement with the Company on August 30, 2006, whereby Dr. Zuckerman agreed to convert the Note. As consideration for entering into such agreement, the Company agreed to: (i) reduce the conversion price of the convertible promissory note from $.06 per share to $.044 per share, (ii) issue 56,818 shares of the Company's common stock to Dr. Zuckerman and (iii) grant to Dr. Zuckerman a warrant to purchase 208,333 shares of common stock of the Company at an exercise price of $0.08 per share. The warrant is exercisable immediately. Number does not reflect a one-for-ten reverse stock split that was effective August 31, 2006. /s/ Mark Weinreb, Attorney-In-Fact 2006-09-01 -----END PRIVACY-ENHANCED MESSAGE-----