0001387131-17-000673.txt : 20170209 0001387131-17-000673.hdr.sgml : 20170209 20170209170126 ACCESSION NUMBER: 0001387131-17-000673 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170207 FILED AS OF DATE: 20170209 DATE AS OF CHANGE: 20170209 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: 1231 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: Moll Thomas CENTRAL INDEX KEY: 0001530181 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36242 FILM NUMBER: 17588350 MAIL ADDRESS: STREET 1: 11455 EL CAMINO REAL, SUITE 310 CITY: SAN DIEGO STATE: CA ZIP: 92130 4 1 moll-form4_020717.xml OWNERSHIP DOCUMENT X0306 4 2017-02-07 0 0000887247 Adamis Pharmaceuticals Corp ADMP 0001530181 Moll Thomas C/O ADAMIS PHARMACEUTICALS CORPORATION 11682 EL CAMINO REAL, SUITE 300 SAN DIEGO CA 92130 0 1 0 0 VP of Research Employee Stock Option (right to buy) 3.15 2017-02-07 4 A 0 110000 0 A 2027-02-07 Common Stock 110000 110000 D The option vests and becomes exercisable as to 1/36 of the option shares on each monthly anniversary of the grant date. /s/ Robert O. Hopkins, Power of Attorney for Thomas Moll 2017-02-09