- Statement of Changes in Beneficial Ownership (4)
November 27 2009 - 7:19PM
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
Expires:
February 28, 2011
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
KOENIG DAVID
|
2. Issuer Name
and
Ticker or Trading Symbol
ProUroCare Medical Inc.
[
PUMD
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
|
(Last)
(First)
(Middle)
20200 COTTAGEWOOD ROAD
|
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/23/2009
|
(Street)
DEEPHAVEN, MN 55331
(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, $0.00001 par value
|
|
|
|
|
|
|
|
1875
|
I
|
Shares held by Clinical Network Management Corp., of which reporting person is a managing officer.
|
Common Stock, $0.00001 par value
|
|
|
|
|
|
|
|
26571
|
I
|
Shares held by Clinical Network Inc., of which the reporting person is a managing officer.
|
Common stock, $0.00001 par value
|
11/23/2009
|
|
M
|
|
1000
|
A
|
$.90
|
54685
|
D
|
|
Common stock, $0.00001 par value
|
11/23/2009
|
|
F
|
|
318
(2)
|
D
|
$2.83
|
54367
|
D
|
|
Common stock, $0.00001 par value
|
11/23/2009
|
|
M
|
|
30000
|
A
|
$.85
|
84367
|
D
|
|
Common stock, $0.00001 par value
|
11/23/2009
|
|
F
|
|
9011
(2)
|
D
|
$2.83
|
75356
|
D
|
|
Common stock, $0.00001 par value
|
11/23/2009
|
|
M
|
|
1000
|
A
|
$1.25
|
76356
|
D
|
|
Common stock, $0.00001 par value
|
11/23/2009
|
|
F
|
|
442
(2)
|
D
|
$2.83
|
75914
|
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
|
Stock Options
|
$11.33
|
|
|
|
|
|
|
(1)
|
4/19/2012
|
Common Stock, $0.00001 par value
|
3000
|
|
3000
|
D
|
|
Stock Options
|
$1.00
|
11/23/2009
|
|
M
|
|
|
1000
|
(1)
|
8/12/2015
|
Common stock, $0.000001 par value
|
1000
|
$0
|
0
|
D
|
|
Stock Options
|
$0.85
|
11/23/2009
|
|
M
|
|
|
30000
|
(1)
|
3/3/2016
|
Common stock, $0.00001 par value
|
30000
|
$0
|
0
|
D
|
|
Stock Options
|
$1.25
|
11/23/2009
|
|
M
|
|
|
1000
|
(1)
|
8/11/2016
|
Common Stock, $0.00001 par value
|
1000
|
$0
|
0
|
D
|
|
Stock options
|
$1.5
|
|
|
|
|
|
|
(3)
|
9/29/2016
|
Common stock, $0.00001 par value
|
50000
|
|
50000
|
D
|
|
Explanation of Responses:
|
(
1)
|
Currently exercisable.
|
(
2)
|
Payment of option exercise price by withholding of common stock on November 23, 2009 when the Fair Market Value of the common stock, as determined by the average of the closing bid and asked price, was $2.83 per share.
|
(
3)
|
Options shall vest on the latter of the date that the Company is cleared by the FDA to sell the ProUroScan System in the United States or the date the Company closes on an aggregate of $2,000,000 or more of incremental equity financing after the date of grant(including the exercise of existing warrants).
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
Director
|
10% Owner
|
Officer
|
Other
|
KOENIG DAVID
20200 COTTAGEWOOD ROAD
DEEPHAVEN, MN 55331
|
X
|
|
|
|
Signatures
|
Richard B. Thon by power of attorney
|
|
11/27/2009
|
**
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.
|
ProUroCare Medical (CE) (USOTC:PUMD)
Historical Stock Chart
From Jun 2024 to Jul 2024
ProUroCare Medical (CE) (USOTC:PUMD)
Historical Stock Chart
From Jul 2023 to Jul 2024