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