0001144204-13-013056.txt : 20130305 0001144204-13-013056.hdr.sgml : 20130305 20130305185826 ACCESSION NUMBER: 0001144204-13-013056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130301 FILED AS OF DATE: 20130305 DATE AS OF CHANGE: 20130305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rahman Ahmed Shayan Fazlur CENTRAL INDEX KEY: 0001506115 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26372 FILM NUMBER: 13667685 MAIL ADDRESS: STREET 1: SHARJAH AIRPORT INTERNATIONAL FREE ZONE STREET 2: EXECUTIVE SUITE, P.O. BOX 9366 CITY: SHARJAH STATE: C0 ZIP: 00000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Adamis Pharmaceuticals Corp CENTRAL INDEX KEY: 0000887247 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 820429727 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 11455 EL CAMINO REAL STREET 2: SUITE 310 CITY: SAN DIEGO STATE: CA ZIP: 92130 BUSINESS PHONE: (858) 997-2400 MAIL ADDRESS: STREET 1: 11455 EL CAMINO REAL STREET 2: SUITE 310 CITY: SAN DIEGO STATE: CA ZIP: 92130 FORMER COMPANY: FORMER CONFORMED NAME: CELLEGY PHARMACEUTICALS INC DATE OF NAME CHANGE: 19950615 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Eses Holdings (FZE) CENTRAL INDEX KEY: 0001506117 STATE OF INCORPORATION: C0 FISCAL YEAR END: 0430 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26372 FILM NUMBER: 13667684 BUSINESS ADDRESS: STREET 1: SHARJAH AIRPORT INTERNATIONAL FREE ZONE STREET 2: EXECUTIVE SUITE, P.O. BOX 9366 CITY: SHARJAH STATE: C0 ZIP: 00000 BUSINESS PHONE: 971-4-363-846 MAIL ADDRESS: STREET 1: SHARJAH AIRPORT INTERNATIONAL FREE ZONE STREET 2: EXECUTIVE SUITE, P.O. BOX 9366 CITY: SHARJAH STATE: C0 ZIP: 00000 4 1 form458306_20130305065624-.xml X0306 4 2013-03-01 0 0000887247 Adamis Pharmaceuticals Corp ADMP 0001506115 Rahman Ahmed Shayan Fazlur SHARJAH AIRPORT INTERNATIONAL FREE ZONE EXECUTIVE SUITE, P.O. BOX 9366 SHARJAH C0 00000 0 0 1 0 0001506117 Eses Holdings (FZE) SHARJAH AIRPORT INTERNATIONAL FREE ZONE EXECUTIVE SUITE, P.O. BOX 9366 SHARJAH C0 00000 0 0 1 0 Common Stock, par value $0.0001 2013-03-01 4 S 0 4575 0.8 D 29975067 I See footnote Represents shares of the Issuer's common stock held by Eses. The Reporting Person is the sole shareholder of Eses, and possesses the power to vote and the power to direct the disposition of all securities of the Issuer held by Eses. /s/ Ahmed Shayan Fazlur Rahman, by Andrew Smith as attorney-in-fact 2013-03-05 /s/ Eses Holdings (FZE), by Andrew Smith as attorney-in-fact 2013-03-05