-----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, A356qreqCGdXxtNtBVqqSotRX+B+G0z/b5YzvDJIRPxKwVSUd64iZ5HRFAck2D3S R/hmWgrKV8uyVck0bI012Q== 0001005477-03-001024.txt : 20030515 0001005477-03-001024.hdr.sgml : 20030515 20030514191521 ACCESSION NUMBER: 0001005477-03-001024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030509 FILED AS OF DATE: 20030515 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KIMBERLIN KEVIN CENTRAL INDEX KEY: 0000904841 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18006 FILM NUMBER: 03700670 BUSINESS ADDRESS: STREET 1: SPENCER TRASK SECURITIES INC STREET 2: 535 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2123555565 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IMMUNE RESPONSE CORP CENTRAL INDEX KEY: 0000817785 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 330255679 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5935 DARWIN COURT CITY: CARLSBAD STATE: CA ZIP: 92008 BUSINESS PHONE: 6194317080 MAIL ADDRESS: STREET 1: 5935 DARWIN COURT CITY: CARLSBAD STATE: CA ZIP: 92008 4 1 edgar123.xml FORM 4 X0101 4 2003-05-09 0 0000817785 IMMUNE RESPONSE CORP IMNR 0000904841 KIMBERLIN KEVIN 1 0 1 0 Common Stock, par value $.0025 per share 2002-12-10 4 P 0 2259888 0.885 A 2778334 I See Note 8% Convertible Debenture due 2004 1.35 2003-05-09 4 P 0 59259 80000 A 2003-05-09 2004-05-09 Common Stock 59259 23394874 I See Note This number does not include the number from column 9 in Table II. 8,750 shares of common stock are held by the reporting person's spouse. 4,000 shares of common stock are held by Kimberlin Family Partners L.P., a Colorado limited partnership, of which the reporting person is the general partner. 448,717 shares of common stock are held by Kevin Kimberlin Partners, L.P., a Delaware limited partnership, of which the general partner is KKP Management LLC, of which the reporting is the managing member. 2,259,888 shares of common stock are held by Cheshire Associates LLC, of which the reporting person is a related party. This number includes the number of shares of the Issuer's common stock underlying options, convertible notes and warrants held by the reporting person or related parties of the reporting person. On May 9, 2003, Cheshire Associates LLC, of which the reporting person is a related party, purchased a promissory note convertible into 59,254 shares of the Issuer's common stock. /s/ Kevin B. Kimberlin 2003-05-13 -----END PRIVACY-ENHANCED MESSAGE-----