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 Midatech Pharma US Inc. [ DARA ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 12/04/2015 | ||||||||||||||||||||||||||
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 | 12/04/2015 | 12/04/2015 | D | 5,614 | D | (1) | 0 | D |
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 | ||||||||
Stock Option | $36 | 12/04/2015 | 12/04/2015 | D | 375 | 03/23/2012 | 03/23/2020 | Common Stock | 375 | (2) | 0 | D | |||
Stock Option | $15.15 | 12/04/2015 | 12/04/2015 | D | 1,000 | 08/02/2011 | 04/01/2021 | Common Stock | 1,000 | (2) | 0 | D | |||
Stock Option | $10.25 | 12/04/2015 | 12/04/2015 | D | 2,000 | 09/15/2012 | 09/15/2021 | Common Stock | 2,000 | (2) | 0 | D | |||
Stock Option | $6.55 | 12/04/2015 | 12/04/2015 | D | 12,000 | 12/27/2011 | 12/27/2021 | Common Stock | 12,000 | (2) | 0 | D | |||
Stock Option | $5 | 12/04/2015 | 12/04/2015 | D | 10,000 | 12/04/2015 | 05/15/2022 | Common Stock | 10,000 | (2) | 0 | D | |||
Stock Option | $3.75 | 12/04/2015 | 12/04/2015 | D | 12,000 | 05/10/2014 | 05/10/2023 | Common Stock | 12,000 | (2) | 0 | D | |||
Stock Option | $1.17 | 12/04/2015 | 12/04/2015 | D | 38,462 | 05/19/2015 | 05/19/2024 | Common Stock | 38,462 | (2) | 0 | D | |||
Stock Option | $0.79 | 12/04/2015 | 12/04/2015 | D | 32,000 | 02/09/2015 | 02/09/2025 | Common Stock | 32,000 | (2) | 0 | D | |||
Stock Option | $0.69 | 12/04/2015 | 12/04/2015 | D | 21,739 | 09/19/2015 | 05/19/2025 | Common Stock | 21,739 | (2) | 0 | D | |||
Stock Option | $0.86 | 12/04/2015 | 12/04/2015 | D | 10,901 | 11/15/2015 | 09/01/2025 | Common Stock | 10,901 | (2) | 0 | D | |||
Preferred Stock | $0 | 12/04/2015 | 12/04/2015 | D | 10 | 06/04/2014 | (4) | Common Stock | 9,009 | (5) | 0 | D | |||
Warrants | $1.67 | 12/04/2015 | 12/04/2015 | D | 4,505 | 06/04/2014 | 06/04/2019 | Common Stock | 4,505 | (3) | 0 | D |
Explanation of Responses: |
1. Common stock disposed of pursuant to the Agreement and Plan of Merger among DARA BioSciences, Inc. (DARA) and Midatech Pharma PLC (Midatech) and certain other parties thereto, whereby each share of common stock of DARA was converted into (i) 0.136 American Depository Receipts (Midatech ADRs), with each Midatech ADR representing two Midatech ordinary shares, plus (ii) one contingent value right representing the right to receive contingent payments if specified milestones are achieved within agreed time periods, plus (iii) cash in lieu of fractional Midatech ADRs. The closing price of the Midatech ordinary shares on December 4, 2015, the effective date of the merger was ?2.65. |
2. These options were assumed by Midatech in connection with the Merger and replaced with options to purchase 0.136 Midatech ADRs for each DARA option held, at an exercise price equal to the exercise price of the applicable DARA option divided by 0.136. |
3. These warrants were assumed by Midatech in connection with the Merger and replaced with warrants to purchase 0.136 Midatech ADRs for each warrant held at an exercise price equivalent to the exercise price of a DARA option divided by 0.136. |
4. These preferred shares have no expiration date. |
5. These preferred shares were purchased by Midatech pursuant to the merger agreement for $1,000 per share for total consideration of $10,000. |
/s/Haywood D. Cochrane | 12/07/2015 | |
** 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. |