Statement of Changes in Beneficial Ownership (4)
August 13 2021 - 05:04PM
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 |
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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 * SPANA CARL |
2. Issuer Name and Ticker or Trading
Symbol PALATIN TECHNOLOGIES INC [ PTN ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
President and CEO |
(Last)
(First)
(Middle)
PALATIN TECHNOLOGIES, INC., 4B CEDAR BROOK DRIVE |
3. Date of Earliest Transaction (MM/DD/YYYY)
8/13/2021
|
(Street)
CRANBURY, NJ 08512
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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 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 |
8/13/2021 |
|
F |
|
61628 (1) |
D |
$0.56 (1) |
8643424 |
D |
|
Common Stock |
8/13/2021 |
|
F |
|
48070 (2) |
D |
$0.56 (2) |
8595354 |
D |
|
Common Stock |
8/13/2021 |
|
F |
|
22497 (3) |
D |
$0.56 (3) |
8572857 |
D |
|
Common Stock |
8/13/2021 |
|
F |
|
20180 (4) |
D |
$0.56 (4) |
8552677 |
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 |
Explanation of
Responses: |
(1) |
Shares withheld by the
issuer, on election of the Reporting Person with the consent of the
issuer, to pay employee withholding taxes. Such taxes were withheld
and reported for the payroll in the period ended August 13, 2021
(for the August 15, 2021 payroll), with the per share value
determined as of June 16, 2021, the date of vesting. The grant of
the underlying time-based restricted share units, which vest at the
rate of 25% per year starting June 16, 2021, was reported on Form 4
filed on June 18, 2020 as to one half of the total grant, and on
Form 4 filed on June 26, 2020 as to the remaining one half, which
had been granted contingent on increasing the shares reserved for
grant under the 2011 Stock Incentive Plan, which was approved the
stockholders at a meeting on June 25, 2020. |
(2) |
Shares withheld by the
issuer, on election of the Reporting Person with the consent of the
issuer, to pay employee withholding taxes. Such taxes were withheld
and reported for the payroll in the period ended August 13, 2021
(for the August 15, 2021 payroll), with the per share value
determined as of June 16, 2021, the date of vesting. The grant and
vesting of the underlying 126,068 restricted share units was
reported on Form 4 filed on June 24, 2021, with a transaction date
of June 22, 2021. |
(3) |
Shares withheld by the
issuer, on election of the Reporting Person with the consent of the
issuer, to pay employee withholding taxes. Such taxes were withheld
and reported for the payroll in the period ended August 13, 2021
(for the August 15, 2021 payroll), with the per share value
determined as of June 24, 2021, the date of vesting. The grant of
the underlying 59,000 time-based restricted share units which
vested on June 24, 2021 was reported on Form 4 filed on June 26,
2019. |
(4) |
Shares withheld by the
issuer, on election of the Reporting Person with the consent of the
issuer, to pay employee withholding taxes. Such taxes were withheld
and reported for the payroll in the period ended August 13, 2021
(for the August 15, 2021 payroll), with the per share value
determined as of June 24, 2021, the date of vesting. The grant and
vesting of the underlying 52,923 restricted share units was
reported on Form 4 filed on June 24, 2021, with a transaction date
of June 22, 2021. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
SPANA CARL
PALATIN TECHNOLOGIES, INC.
4B CEDAR BROOK DRIVE
CRANBURY, NJ 08512 |
X |
|
President and CEO |
|
Signatures
|
/s/ Carl Spana, by Stephen A. Slusher,
Attorney-In-Fact |
|
8/13/2021 |
**Signature of
Reporting Person |
Date |
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