0001179110-21-004663.txt : 20210428 0001179110-21-004663.hdr.sgml : 20210428 20210428195925 ACCESSION NUMBER: 0001179110-21-004663 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200921 FILED AS OF DATE: 20210428 DATE AS OF CHANGE: 20210428 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FARRAR FREDERICK L CENTRAL INDEX KEY: 0001273964 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08589 FILM NUMBER: 21866496 MAIL ADDRESS: STREET 1: C/O WINDROSE MEDICAL PROPERTIES TRUST STREET 2: 3502 WOODVIEW TRACE #210 CITY: INDIANAPOLIS STATE: IN ZIP: 46268 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FCCC INC CENTRAL INDEX KEY: 0000730669 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 060759497 STATE OF INCORPORATION: CT FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 1650 W. 106TH STREET CITY: CARMEL STATE: IN ZIP: 46032 BUSINESS PHONE: (317) 441-4563 MAIL ADDRESS: STREET 1: 1650 W. 106TH STREET CITY: CARMEL STATE: IN ZIP: 46032 FORMER COMPANY: FORMER CONFORMED NAME: FIRST CONNECTICUT CAPITAL CORP/NEW/ DATE OF NAME CHANGE: 19920929 4 1 edgar.xml FORM 4 - X0306 4 2020-09-21 0 0000730669 FCCC INC FCIC 0001273964 FARRAR FREDERICK L 1650 W. 106TH STREET CARMEL IN 46032 1 0 0 0 Common Stock 2021-04-26 4 S 0 525000 0.23 D 0 D Common Stock 2021-04-26 4 S 0 400000 0.23 D 0 I By Chafre, LLC Convertible Promissory Note 0.23 2020-09-21 4 P 0 65000 65000 A 2020-09-21 2022-10-31 Common Stock 282608 65000 D Represents original principal amount. Represents shares of issued common stock into which the principal amount was convertible on the date of acquisition. It does not include shares issuable upon conversion of unpaid interest, which accrues at a rate of 5.0% per annum. /s/ Joshua L. Colburn, Attorney-in-Fact 2021-04-28