-----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, MVzhkUEKQHe3xfn9hmP584jz1CjqB8TE7IRZwZTNbGWq/sIM5GfMzp4Ixz/XBm/z GC0LEcQPk5c3LMee/FgsmQ== 0001157523-06-008928.txt : 20060901 0001157523-06-008928.hdr.sgml : 20060901 20060901203145 ACCESSION NUMBER: 0001157523-06-008928 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: Smith Robin L CENTRAL INDEX KEY: 0001365035 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10909 FILM NUMBER: 061072551 BUSINESS ADDRESS: BUSINESS PHONE: 631-574-4955 MAIL ADDRESS: STREET 1: C/O PHASE III MEDICAL, INC. STREET 2: 330 SOUTH SERVICE ROAD, SUITE 120 CITY: MELVILLE STATE: NY ZIP: 11747 4 1 a5220306_ex.xml X0202 4 2006-08-30 0 0000320017 PHASE III MEDICAL INC/DE PHSM 0001365035 Smith Robin L C/O NEOSTEM, INC. 420 LEXINGTON AVENUE, SUITE 450 NEW YORK NY 10170 1 1 0 0 Chairman and CEO Common Stock, $.001 par value 2006-08-30 4 J 0 185273 0.044 A 4526181 D Warrants (Right to Buy) 0.08 2006-08-30 4 J 0 92636 A 2011-08-30 Common Stock 92636 92636 D Purchased in connection with a private placement that took effect in July and August 2006. This warrant is exercisable immediately. Number does not reflect a one-for-ten reverse stock split that was effective August 31, 2006. /s/ Robin L. Smith 2006-09-01 -----END PRIVACY-ENHANCED MESSAGE-----