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