Statement of Changes in Beneficial Ownership (4)
20 Giugno 2014 - 11:41PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
CIABATTONI LIVING TRUST U/A/D AUGUST 17, 2000
|
2. Issuer Name
and
Ticker or Trading Symbol
First Physicians Capital Group, Inc.
[
TISG.OB
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
|
(Last)
(First)
(Middle)
16 LAGUNITA DRIVE
|
3. Date of Earliest Transaction
(MM/DD/YYYY)
6/15/2010
|
(Street)
LAGUNA BEACH, CA 92561
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security
(Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. 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
|
6/15/2010
|
|
X
|
|
60000
|
A
|
$0.50
|
60000
|
D
|
|
Common Stock
|
2/3/2014
|
|
O
|
|
3500000
|
A
|
$0.01
|
3560000
|
D
|
|
Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 3)
|
2. Conversion or Exercise Price of Derivative Security
|
3. Trans. Date
|
3A. Deemed Execution Date, if any
|
4. Trans. 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
|
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 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
|
Common Stock Warrant (Right to Buy)
|
$0.3125
|
1/1/2014
|
|
P
|
|
1814400
|
|
1/1/2014
|
1/1/2019
|
Common Stock
|
1814400
|
$0.00
|
1814400
|
D
|
|
Common Stock Warrant (Right to Buy)
|
$0.50
|
6/15/2010
|
|
X
|
|
|
60000
|
5/24/2007
|
5/24/2009
|
Common Stock
|
60000
|
$0.00
|
0
|
D
|
|
Series 6-A Convertible Preferred Stock
|
$0.3125
|
7/24/2012
|
|
P
|
|
100
|
|
7/24/2012
|
(1)
|
Common Stock
|
2240000
|
$1000.00
|
700
|
D
|
|
Series 6-A Convertible Preferred Stock
|
$0.3125
|
9/4/2012
|
|
P
|
|
75
|
|
9/4/2012
|
(1)
|
Common Stock
|
2480000
|
$1000.00
|
775
|
D
|
|
Series 6-A Convertible Preferred Stock
|
$0.3125
|
5/30/2013
|
|
P
|
|
155
|
|
5/30/2013
|
(1)
|
Common Stock
|
2976000
|
$1000.00
|
930
|
D
|
|
Convertible Promissory Note
|
$0.625
|
7/6/2011
|
|
P
|
|
$100000.00
|
|
7/6/2011
|
6/30/2014
(3)
|
Common Stock
|
160000
|
$100000.00
|
$1100000.00
|
D
|
|
Convertible Promissory Note
|
$0.625
|
8/1/2012
|
|
J
(2)
|
|
|
$175000.00
|
2/11/2009
|
6/30/2014
(3)
|
Common Stock
|
280000
|
$925000.00
|
$925000.00
|
D
|
|
Convertible Promissory Note
|
$0.625
|
4/7/2014
|
|
J
(2)
|
|
|
$825000.00
|
2/11/2009
|
6/30/2014
(3)
|
Common Stock
|
1495408
|
$934360.00
|
0
|
D
|
|
Common Stock Warrant (Right to Buy)
|
$0.50
|
2/6/2010
|
|
P
|
|
250000
|
|
2/6/2010
|
4/6/2012
|
Common Stock
|
250000
|
$0.00
|
250000
|
D
|
|
Common Stock Warrant (Right to Buy)
|
$0.75
|
2/6/2010
|
|
P
|
|
166667
|
|
2/6/2010
|
4/6/2012
|
Common Stock
|
166667
|
$0.00
|
166667
|
D
|
|
Explanation of Responses:
|
(
1)
|
No expiration date.
|
(
2)
|
On April 7, 2014, the Issuer elected to repay before maturity all outstanding principal and interest under all of its convertible promissory notes.
|
(
3)
|
In January 2014, the Reporting Person agreed to extend the maturity of the convertible promissory note to June 30, 2014.
|
Remarks:
Exhibit 99.1 - Joint Filer Information
Exhibit 99.2 - Joint Filer Information
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
Director
|
10% Owner
|
Officer
|
Other
|
CIABATTONI LIVING TRUST U/A/D AUGUST 17, 2000
16 LAGUNITA DRIVE
LAGUNA BEACH, CA 92561
|
|
X
|
|
|
CIABATTONI ANTHONY J
16 LAGUNITA DRIVE
LAGUNA BEACH, CA 92651
|
|
X
|
|
|
CIABATTONI JANE G.
16 LAGUNITA DRIVE
LAGUNA BEACH, CA 92651
|
|
X
|
|
|
Signatures
|
/s/ Anthony J. Ciabattoni, Manager
|
|
6/20/2014
|
**
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 control number.
|
Grafico Azioni First Physicians Capital (CE) (USOTC:FPCG)
Storico
Da Nov 2024 a Dic 2024
Grafico Azioni First Physicians Capital (CE) (USOTC:FPCG)
Storico
Da Dic 2023 a Dic 2024
Notizie in Tempo Reale relative a First Physicians Capital Group Inc (CE) (OTCMarkets): 0 articoli recenti
Più First Physicians Capital Group, Inc. Articoli Notizie