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