1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series E Convertible Preferred Stock
|
06/03/2009 |
Â
(4)
|
Common Stock
|
20,000,000
|
$
0.2
(2)
|
I
(1)
|
See Footnote
(1)
|
Series E Convertible Preferred Stock
|
06/03/2009 |
06/03/2016 |
Common Stock
|
40,000,000
|
$
0.0625
(3)
|
I
(1)
|
See Footnote
(1)
|
* |
If the form is filed by more than one reporting person, see Instruction 5(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) |
Ram Potti ("Potti"), Ashok G. Nigalaye ("Nigalaye"), and Jeenarine Narine ("Narine") are executive officers and equity owners
of Epic Pharma, LLC, a Delaware limited liability company ("EP") and Epic Investments, LLC, a Delaware limited liability
company ("EI"). EP is an equity owner of EI. EP, Potti, Nigalaye and Narine share voting and investment control over, and
are indirect beneficial owners of, all securities owned by EI reported herein. The interest of Narine in the securities of
Elite Pharmaceuticals, Inc. ("Elite") owned by EI is limited, and Narine disclaims beneficial ownership of such securities
except, to the extent of his pecuniary interest in EI. |
(2) |
EI owns 1,000 shares of Elite's Series E Convertible Preferred Stock, each having a price of $1,000 per share and
convertible, at a conversion price of $0.05 per share, into 20,000 shares of Elite's Common Stock. |
(3) |
EI owns warrants to purchase up to an aggregate of 40,000,000 shares of Elite's Common Stock excerisable at $0.0625 per
share. |
(4) |
Not Applicable. |