0001437749-15-005830.txt : 20150323
0001437749-15-005830.hdr.sgml : 20150323
20150323170023
ACCESSION NUMBER: 0001437749-15-005830
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150319
FILED AS OF DATE: 20150323
DATE AS OF CHANGE: 20150323
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VISION SCIENCES INC /DE/
CENTRAL INDEX KEY: 0000894237
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 133430173
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0331
BUSINESS ADDRESS:
STREET 1: 40 RAMLAND ROAD SOUTH
CITY: ORANGEBURG
STATE: NY
ZIP: 10962
BUSINESS PHONE: 845-365-0600
MAIL ADDRESS:
STREET 1: 40 RAMLAND ROAD SOUTH
CITY: ORANGEBURG
STATE: NY
ZIP: 10962
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PELL LEWIS C
CENTRAL INDEX KEY: 0000901507
STATE OF INCORPORATION: MA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20970
FILM NUMBER: 15719697
MAIL ADDRESS:
STREET 1: C/O VISION SCIENCES INC
STREET 2: 6 STRATHMORE RD
CITY: NATICK
STATE: MA
ZIP: 01760
4
1
rdgdoc.xml
FORM 4
X0306
4
2015-03-19
0000894237
VISION SCIENCES INC /DE/
VSCI
0000901507
PELL LEWIS C
C/O VISION-SCIENCES, INC.
40 RAMLAND ROAD SOUTH, SUITE 1
ORANGEBURG
NY
10962
1
1
Convertible Promissory Note
1.11
2015-03-19
4
J
0
990000
0
A
2015-03-19
2019-06-16
common stock
891891
26975365
D
The Issuer issued a $5.0 million revolving convertible promissory note to the Reporting Person on June 16, 2014 (the "2014 Note"). The Issuer borrowed $1.0 million under the 2014 Note on June 16, 2014, August 12, 2014, October 24, 2014 and December 30, 2014, and $990,000 under the 2014 Note on March 19, 2015, bringing the aggregate principal amount outstanding under the 2014 Note to $4,990,000. The outstanding balance under the 2014 Note is convertible, at the Reporting Person's opinion, into shares of the Issuer's common stock at a fixed conversion price of $1.11 per share.
/s/ Lewis C. Pell
2015-03-23