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 |
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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*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Arno Therapeutics, Inc [ ARNI ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 01/12/2016 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | 3,115 | D | ||||||||
Common Stock | 01/12/2016 | P | 1,448,062(1) | A | $0.35 | 1,548,543 | I | Arie S. Belldegrun, M.D. Inc. Profit Sharing Plan(2) | ||
Common Stock | 01/12/2016 | P | 714,285 | A | $0.35 | 858,094 | I | Leumi Overseas Trust Corp. Ltd. as TTEE of the BTL Trust(3) | ||
Common Stock | 254,887 | I | Leumi Overseas Trust Corp. Ltd. as TTEE of the Tampere Trust(4) | |||||||
Common Stock | 379,294 | I | Belldegrun Family Trust(5) | |||||||
Common Stock | 174,644 | I | MDRB Partnership, L.P.(6) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 | ||||||||
2012 Series A Warrants (right to buy) | $1.36(7) | 11/26/2012 | 11/26/2017 | Common Stock | 245,096(7) | 245,096(7) | I | Arie S. Belldegrun, M.D. Inc. Profit Sharing Plan(2) | |||||||
2013 Series D Warrants (right to buy) | $2.14(7) | 10/29/2013 | 10/29/2018 | Common Stock | 194,702(7) | 194,702(7) | I | Leumi Overseas Trust Corp. Ltd. as TTEE of the BTL Trust(3) | |||||||
2012 Series A Warrants (right to buy) | $1.36(7) | 11/26/2012 | 11/26/2017 | Common Stock | 367,646(7) | 367,646(7) | I | Leumi Overseas Trust Corp. Ltd. as TTEE of the Tampere Trust(4) | |||||||
2013 Series D Warrants (right to buy) | $2.14(7) | 10/29/2013 | 10/29/2018 | Common Stock | 194,702(7) | 194,702(7) | I | Leumi Overseas Trust Corp. Ltd. as TTEE of the Tampere Trust(4) | |||||||
2012 Series A Warrants (right to buy) | $1.36(7) | 11/26/2012 | 11/26/2017 | Common Stock | 428,920(7) | 428,920(7) | I | Belldegrun Family Trust(5) | |||||||
2013 Series D Warrants (right to buy) | $2.14(7) | 10/29/2013 | 10/29/2018 | Common Stock | 350,467(7) | 350,467(7) | I | Belldegrun Family Trust(5) | |||||||
2012 Series A Warrants (right to buy) | $1.36(7) | 11/26/2012 | 11/26/2017 | Common Stock | 183,822(7) | 183,822(7) | I | MDRB Partnership, L.P.(6) | |||||||
2013 Series D Warrants (right to buy) | $2.14(7) | 10/29/2013 | 10/29/2018 | Common Stock | 155,762(7) | 155,762(7) | I | MDRB Partnership, L.P.(6) | |||||||
Stock Option (right to buy) | $19.36 | (8) | 03/31/2018 | Common Stock | 24,922 | 24,922 | D | ||||||||
Stock Option (right to buy) | $8 | (8) | 09/29/2019 | Common Stock | 1,250 | 1,250 | D | ||||||||
Stock Option (right to buy) | $8 | (8) | 09/09/2020 | Common Stock | 37,500 | 37,500 | D | ||||||||
Stock Option (right to buy) | $8 | (8) | 11/05/2020 | Common Stock | 1,250 | 1,250 | D | ||||||||
Stock Option (right to buy) | $2.4 | (9) | 11/04/2023 | Common Stock | 3,559,296 | 3,559,296 | D | ||||||||
Stock Option (right to buy) | $2.9 | (10) | 01/24/2024 | Common Stock | 68,448 | 68,448 | D |
Explanation of Responses: |
1. On January 12, 2016, the Arie Belldegrun M.D., Inc. Profit Sharing Plan was issued 1,448,062 shares upon the automatic conversion of $506.821.92 of principal and accrued interest under a 6% unsecured convertible promissory note previously issued to the Arie Belldegrun M.D., Inc. Profit Sharing Plan by the Issuer on October 21, 2015. |
2. The Reporting Person is the trustee of the profit sharing plan that owns the securities. |
3. Although the Reporting Person is not a trustee of the BTL Trust, the Reporting Person is a beneficiary of the BTL Trust, and as such may be deemed to be the beneficial owner of the securities owned by the BTL Trust. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. |
4. Although the Reporting Person is not a trustee of the Tampere Trust, the Reporting Person is a beneficiary of the Tampere Trust, and as such may be deemed to be the beneficial owner of the securities owned by the Tampere Trust. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. |
5. The Reporting Person is the trustee of the family trust that owns the securities. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. |
6. The Reporting Person is the managing partner of the limited partnership that owns the securities. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. |
7. As a result of the Issuer's 1/12/16 private placement of common stock at $0.35/share, the exercise price and number of shares subject to the 2012 Series A Warrants and 2013 Series D Warrants were automatically adjusted to the exercise price and shares reflected, pursuant to anti-dilution adjustment provisions. |
8. Currently exercisable. |
9. Vests in equal 36-monthly installments commencing 12/4/13. |
10. Vests in equal 12-monthly installments commencing 2/24/14. |
Remarks: |
/s/ Christopher J. Melsha as Attorney-in-Fact for Arie S. Belldegrun pursuant to a Power of Attorney previously filed. | 01/14/2016 | |
** 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. |