0001387131-17-000718.txt : 20170210
0001387131-17-000718.hdr.sgml : 20170210
20170210183830
ACCESSION NUMBER: 0001387131-17-000718
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170210
DATE AS OF CHANGE: 20170210
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: CARLO DENNIS J PHD
CENTRAL INDEX KEY: 0001038322
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36242
FILM NUMBER: 17595152
MAIL ADDRESS:
STREET 1: PO BOX 1176
CITY: RANCHO SANTA FE
STATE: CA
ZIP: 92067
5
1
carlo-form5_123116.xml
OWNERSHIP DOCUMENT
X0306
5
2016-12-31
0
0
0
0000887247
Adamis Pharmaceuticals Corp
ADMP
0001038322
CARLO DENNIS J PHD
C/O ADAMIS PHARMACEUTICALS CORPORATION
11682 EL CAMINO REAL, SUITE 300
SAN DIEGO
CA
92130
1
1
0
0
President & CEO
Common Stock
2016-12-29
5
G
0
20000
0
D
333709
I
By D. Carlo & A. Carlo Joint Living Trust
Common Stock
2016-12-29
5
G
0
5000
0
D
333709
I
By D. Carlo and A. Carlo Joint Living Trust
/s/ Robert O. Hopkins, Power of Attorney for Dennis J. Carlo, Ph.D.
2017-02-10