SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
KIMBERLIN KEVIN

(Last) (First) (Middle)
C/O 535 MADISON AVENUE
18TH FLOOR

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Vyteris, Inc. [ VYTR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
12/24/2009
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 12/24/2009 C 24,180,241 A $0.4 25,848,814 I See Footnote(1)
Common Stock 12/24/2009 C 26,330,806 A $0.4 52,179,620 I See Footnote(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Senior Secured Convertible Debt $0.4 12/24/2009 C 9,672,096(3) 12/24/2009 12/24/2009 Common 24,180,241 $0 0 I See Footnote(1)
Series B Convertible Preferred Stock $0.4 12/24/2009 12/24/2009 C 500,000 12/24/2009 12/24/2009 Common 26,330,806 $0 0 I See Footnote(2)
Explanation of Responses:
1. Shares of the Issuer's common stock (the "Common Stock") were acquired through a Restructuring Agreement, as amended (the "Agreement"), dated as of December 24, 2009, by Spencer Trask Specialty Group ("STSG"), a Delaware limited liability company, of which the Reporting Person is the non-member manager. The Agreement provided that all existing debt in excess of $2,000,000 would be converted into shares of Common Stock in full satisfaction of such amounts owed by the Issuer to STSG at $0.40 per share. The conversion occurred simultaneously with the execution of the Agreement.
2. Shares were acquired through the Agreement pursuant to which the Series B Convertible Preferred Stock (the "Preferred Stock") would be converted into shares of Common Stock in full satisfaction of all obligations by the Issuer to STSG under the Preferred Stock at $0.40 per share. The conversion occurred simultaneously with the execution of the Agreement.
3. The aggregate debt includes senior secured convertible debt and working capital facilities debt. All debt, with the exception of $2,000,000, was paid off by the conversion pursuant to the Agreement.
/s/ Kevin Kimberlin 02/17/2010
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.