FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ELECTRO OPTICAL SCIENCES INC /NY [ MELA ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 10/10/2008 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction 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 | 10/15/2008 | 10/15/2008 | M | 81,753 | A | $0.46 | 91,853 | D | ||
Common Stock | 500 | I | Adele Gulfo |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 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: 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 Option | $0.46 | 10/15/2008 | 10/15/2008 | M | 75,227 | 02/02/2004 | 02/01/2009 | Common Stock | 75,227 | $0.00 | 0 | D | |||
Stock Option | $0.46 | 10/15/2008 | 10/15/2008 | M | 6,526 | 02/02/2004 | 02/01/2009 | Common Stock | 6,526 | $0.00 | 0 | D | |||
Stock Option | $3.75 | 10/10/2008 | 10/10/2008 | A | 180,000(1)(2)(3) | 10/10/2008 | 10/10/2018 | Common Stock | 180,000(1)(2)(3) | $3.75 | 180,000 | D |
Explanation of Responses: |
1. On October 10, 2008, the PMA Approval-based stock option issued to Dr. Gulfo, as reported on his Form 3 filed October 28, 2005, was cancelled. This option would have been for 743,283 shares of the Issuer's common stock, which were exercisable at $.46 per share assuming PMA Approval of MelaFind had been obtained on September 30, 2008. |
2. On October 10, 2008, Dr. Gulfo was granted stock options for 900,000 shares of the Issuer's common stock. These shares have an exercise price of $3.75 per share, which was the current market price at the date of the grant. This grant is subject to stockholder approval as described in Note 3 below, and vest as follows: (i) with respect to 180,000 shares, immediately (the "Vested Shares"); (ii) with respect to 540,000 shares, upon the Issuer receiving approval from the Food and Drug Administration for a pre-market approval application ("PMA Approval") for MelaFind (the "Approval Shares"); and (iii) with respect to 180,000 shares, in four equal annual installments commencing on October 10, 2009 (the "Annual Shares"). |
3. The Vested Shares and 200,000 of the Approval Shares are reserved for issuance from shares available under the Issuer's 2005 Stock Incentive Plan (the "2005 Plan") which were previously approved for issuance by the Compensation Committee of the Board of Directors of the Issuer (the "Committee") and the stockholders of the Issuer. 520,000 shares (340,000 of which are the Approval Shares and 180,000 of which are the Annual Shares) are reserved for issuance from shares under the 2005 Plan which have been newly authorized for issuance under the 2005 Plan by the Committee and such newly authorized shares have not yet been approved for issuance under the 2005 Plan by the stockholders of the Issuer. The exercise of the stock options covering these newly authorized shares is subject to the receipt of stockholder approval of the availability of these shares for issuance under the 2005 Plan, which is anticipated to be solicited in the Issuer's 2009 Proxy Statement. |
Remarks: |
/s/ Philip DeBellis as attorney-in-fact for Joseph V. Gulfo | 10/15/2008 | |
** 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 Number. |