|
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 or Section 30(h) of the Investment Company Act of 1940 |
|
| ||||||||||||||||||||||||||||||||||||||
|
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) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series D Warrant (right to buy) (1) | $ 0.18 | 06/22/2020 | O | 454,546 | 06/30/2015 | 06/30/2020 | Common Stock | 454,546 | $ 0 | 0 | I (3) | See Footnote (3) | |||
Series J Warrant (right to buy) (4) | $ 0.25 | 06/22/2020 | P | 340,910 | 06/22/2020 | 06/22/2021 | Common Stock | 340,910 | $ 0 | 340,910 | I (3) | See Footnote (3) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SULAT JAMES R C/O ARCH THERAPEUTICS, INC. 235 WALNUT STREET, SUITE 6 FRAMINGHAM, MA 01702 |
X |
/s/ James R. Sulat | 06/23/2020 | |
**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) | Of the Shares purchased, all are from the exercise of Series D Warrants originally issued as part of a private placement that was concluded on July 2, 2015 and originally issued with an exercise price of $0.25. On June 3, 2020, among other items, the exercise price of the Series D Warrants was amended to $0.18. |
(2) | Excludes (a) 41,666 shares of our Common Stock held by the Brenna Keyes Sulat Irrevocable Trust; and, (b) 41,666 shares of our Common Stock held by the Nathaniel Keyes Sulat Irrevocable Trust. Mr. Sulat is a co-trustee of each of the Trusts along with his wife. |
(3) | Held indirectly by the Keyes Sulat Revocable Trust, of which Mr. Sulat and his spouse are the trustees and the members of Mr. Sulat's immediately family are the beneficiaries. |
(4) | Series J Warrants issued upon the exercise of and payment for all Series D warrants. |