0001171843-12-000015.txt : 20120103 0001171843-12-000015.hdr.sgml : 20120102 20120103152722 ACCESSION NUMBER: 0001171843-12-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120101 FILED AS OF DATE: 20120103 DATE AS OF CHANGE: 20120103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Capstone Therapeutics Corp. CENTRAL INDEX KEY: 0000887151 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 860585310 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1275 WEST WASHINGTON STREET STREET 2: SUITE 101 CITY: TEMPE STATE: AZ ZIP: 85281 BUSINESS PHONE: 6022865520 MAIL ADDRESS: STREET 1: 1275 WEST WASHINGTON STREET STREET 2: SUITE 101 CITY: TEMPE STATE: AZ ZIP: 85281 FORMER COMPANY: FORMER CONFORMED NAME: ORTHOLOGIC CORP DATE OF NAME CHANGE: 19940211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOLLIMAN JOHN M III CENTRAL INDEX KEY: 0000938112 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33560 FILM NUMBER: 12501737 MAIL ADDRESS: STREET 1: 6155 N SCOTTADALE ROAD STE 100 CITY: SCOTTSDALE STATE: AZ ZIP: 85250 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0304 4 2012-01-01 0000887151 Capstone Therapeutics Corp. CAPS 0000938112 HOLLIMAN JOHN M III 1275 W. WASHINGTON STREET, SUITE 101 TEMPE AZ 85281 1 1 0 0 Executive Chairman Common Stock 2012-01-01 4 A 0 10000 0 A 332614 D Common Stock 1568 I Valley Ventures III, LP Common Stock 3000 I Dorsey Drew Holliman Revokable Trust Stock Option (Right to Buy) 0.26 2012-01-01 4 A 0 10000 0 A 2012-01-01 2022-01-01 Common Stock 10000 715000 D Represents 10,000 shares of restricted stock issued pursuant to the Capstone Therapeutics Corp. 2005 Equity Incentive Plan, which are subject to a risk of forfeiture until vesting on 1-2-2013. /s/ Les M. Taeger, Attorney in-fact 2012-01-03