|
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 |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrant to Purchase Common Stock | $ 0.2 | 08/10/2007 | M | 7,562,500 | 08/10/2007 | 11/05/2011 | Common Stock | 7,562,500 | $ 0 | 7,562,500 | D | ||||
Right to Acquire Common Stock | $ 0.1818 | 08/10/2007 | M | 6,875,000 | 07/02/2007 | (2) | Common Stock | 27,500,000 | $ 0 | 20,625,000 | D | ||||
Right to Acquire Warrant to Purchase Common Stock | $ 0 | 08/10/2007 | M | 7,562,500 | 07/02/2007 | (2) | Common Stock | 30,250,000 | $ 0 | 22,687,500 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ACCBT Corp. MORGAN AND MORGAN BUILDING PASEA ESTATE, ROAD TOWN TORTOLA, D8 |
X |
/s/ Thomas B. Rosedale (Pursuant to Power of Attorney) | 08/17/2007 | |
**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) | The reporting person acquired the shares of Common Stock pursuant to that certain Subscription Agreement (the "Subscription Agreement"), dated as of July 2, 2007, between the reporting person and Brainstorm Cell Therapeutics Inc. ("Brainstorm"). The aggregate purchase price for the shares of Common Stock was $1,250,000, of which $1,000,000 was paid in cash by the reporting person to Brainstorm and $250,000 was paid by the application of the outstanding principal amount owed by Brainstorm to the reporting person pursuant to that certain 8% Convertible Promissory Note, dated May 6, 2007, in the principal amount of $250,000 issued by Brainstorm to the reporting person. |
(2) | There is no expiration date with respect to the reporting person's right to acquire the shares of Common Stock and Warrants to purchase Common Stock pursuant to the Subcription Agreement. |