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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
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 Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Common stock (right to buy) (1) | $ 0.34 | 10/19/2009 | A | 500,000 | (2) | 10/19/2019 | Common stock | 500,000 | $ 0 | 500,000 | D | ||||
Convertible note | $ 0.15 | 10/19/2009 | P | $ 1,000,000 | 10/19/2009 | (3) | Common stock | 6,666,666 | (4) | 6,666,666 | D | ||||
Common stock warrants (right to buy) | $ 0.15 | 10/19/2009 | P | 6,666,666 | 10/19/2009 | 10/19/2012 | Common stock | 6,666,666 | (4) | 6,666,666 | D | ||||
Common stock warrants (right to buy) | $ 0.25 | 10/19/2009 | P | 6,666,666 | 10/19/2009 | 10/19/2014 | Common stock | 6,666,666 | (4) | 6,666,666 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MUNIZ CHARLES C/O ALFACELL CORPORATION 300 ATRIUM DRIVE SOMERSET, NJ 08873 |
X | President, CEO and CFO |
/s/ Charles Muniz | 10/21/2009 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Issued under the Company's 2004 Stock Incentive Plan and qualified under Rule 16b-3(d). |
(2) | These options shall vest as to 33.33% on October 19, 2010; 33.33% on October 19, 2011 and the remaining unvested portion on October 19, 2012. |
(3) | The notes are convertible into shares of common stock at the option of the reporting person at any time prior to the date on which the issuer makes payment in full of all amounts outstanding under the note. |
(4) | The reported securities are included within units purchased by the reporting person, each unit consisting of (i) $50,000 principal amount of senior secured convertible promissory notes convertible into shares of common stock at a conversion price of $0.15 per share, (ii) warrants to purchase in the aggregate that number of shares of common stock initially issuable upon conversion of the aggregate amount of notes issued as part of the unit at an exercise price of $0.15 per share and (iii) warrants to purchase in the aggregate that number of shares of common stock initially issuable upon conversion of the aggregate amount of notes issued as part of the unit at an exercise price of $0.25 per share. |