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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Non-qualified stock option (right to buy) | $ 0.95 | 01/08/2010 | A | 22,500 | (1) | 01/08/2020 | Common Stock | 22,500 | $ 0 | 22,500 | D | ||||
Non-qualified stock option (right to buy) | $ 1.71 | (2) | 08/17/2019 | Common Stock | 20,000 | 20,000 | D | ||||||||
Non-qualified stock option (right to buy) | $ 0.8 | (3) | 11/30/2017 | Common Stock | 20,000 | 20,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Scibetta James S C/O NEPHROS, INC. 41 GRAND AVENUE RIVER EDGE, NJ US 07661 |
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/s/ James S. Scibetta | 01/25/2010 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | On January 8, 2010, the Company granted Mr. Scibetta an option to purchase 22,5000 shares of common stock of the Company under the Company's 2004 Stock Incentive Plan. The option has vested with respect to 7,500 shares. The remainder of the option will vest in annual installments of 7,500 shares on the first anniversary of the grant date, and 7,500 shares on the second anniversary of the grant date. |
(2) | On August 17, 2009, the Company granted Mr. Scibetta an option to purchase 20,000 shares of common stock of the Company under the Company's 2004 Stock Incentive Plan. The option has vested with respect to 6,667 shares. The remainder of the option will vest in annual installments of 6,667 shares on the first anniversary of the grant date, and 6,666 shares on the second anniversary of the grant date. |
(3) | On November 30, 2007, the Company granted Mr. Scibetta an option to purchase 20,000 shares of common stock of the Company under the Company's 2004 Stock Incentive Plan. The option has vested with respect to all of the shares. |