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 |
| |||||||||||||||
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 EMMAUS LIFE SCIENCES, INC. [ NONE ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| ||||||||||||||||||||||||
3. Date of Earliest Transaction (Month/Day/Year) 01/07/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
|
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 | 01/07/2015 | M | 55,556 | A | $1 | 55,556 | I | See Footnote(1) | ||
Common Stock | 03/18/2016 | M | 22,222 | A | $4.5 | 22,222 | D |
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 | ||||||||
Warrants (right to buy) | $1 | 01/07/2015 | M | 55,556 | 01/17/2013 | 01/17/2015 | Common Stock | 55,556 | $1 | 0 | I | See Footnote(1) | |||
Convertible Promissory Note | $4.5 | 09/29/2015 | A | $100,000 | 09/29/2016 | 09/29/2017 | Common Stock | 22,222(2) | $4.5 | 22,222 | D | ||||
Convertible Promissory Note | $4.5 | 11/16/2015 | A | $200,000 | 11/16/2016 | 11/16/2017 | Common Stock | 44,444(3) | $4.5 | 44,444 | D | ||||
Warrants (right to buy) | $5 | 05/10/2016 | A | 1,300,000 | 05/10/2016 | 05/09/2021 | Common Stock | 1,300,000 | $5 | 0 | D | ||||
Options | $5 | 05/10/2016 | A | 300,000 | (4) | 05/09/2026 | Common Stock | 300,000 | $5 | 300,000 | D |
Explanation of Responses: |
1. Owned by Hope International Hospice, Inc.. The reporting person is the chief executive officer of Hope International Hospice, Inc. and has voting and investment power over such shares. The reporting person disclaims beneficial ownership of all securities held by Hope International Hospice, Inc., and this report should not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. |
2. The principal amount of the Convertible Promissory Note plus unpaid accrued interest (10% per annum) is convertible into shares of the Issuer's common stock. The 22,222 shares represents the number of shares into which the principal amount of the Convertible Promissory Note may be converted. The note is due on September 29, 2017. |
3. The principal amount of the Convertible Promissory Note plus unpaid accrued interest (10% per annum) is convertible into shares of the Issuer's common stock. The 44,444 shares represents the number of shares into which the principal amount of the Convertible Promissory Note may be converted. The note is due on November 16, 2017. |
4. The option vests one-third (1/3) on May 10, 2017, and thereafter will vest monthly in equal monthly amounts (or as close to an equal amount as possible) until May 10, 2019. |
Yutaka Niihara | 05/26/2016 | |
** 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. |