Khristine L Carroll Form 3 AdvanSource Biomaterials / Khristine L Carroll ownership change

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF 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

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1. Name and Address of Reporting Person^*

Carroll Khristine L

(Last) (First) (Middle)

229 ANDOVER STREET

(Street)

WILMINGTON MA 01887

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
04/15/2016

3. Issuer Name and Ticker or Trading Symbol
AdvanSource Biomaterials Corp [ ASNB ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
EVP of Commercial Operations

5. 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 Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	270,309(1)	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Common Stock	12/21/2007	12/21/2017	Common Stock	50,000	0.66	D
Common Stock	01/21/2008	01/21/2018	Common Stock	50,000	0.7	D
Common Stock	09/17/2008	09/17/2018	Common Stock	10,000	0.41	D
Common Stock	10/14/2009	10/14/2019	Common Stock	150,000	0.27	D
Common Stock	09/04/2013	09/04/2023	Common Stock	100,000	0.06	D

Explanation of Responses:

1. Shares acquired through open market purchases.

	Khristine L Carroll	04/20/2016
	** 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 5 (b)(v).
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