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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 | ||||||||
8% Convertible Promissory Note | $ 0.29 | 11/29/2018 | A(1) | $ 54,945.05 | 11/29/2018 | (1) | Common Stock | 189,466 | $ 54,945.05 | 189,466 | D | ||||
Warrant | $ 0.36 | 11/29/2018 | A(1) | 189,466 | 05/29/2019 | 05/29/2024 | Common Stock | 189,466 | (1) | 189,466 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Cohen David Seth C/O PRECIPIO, INC., 4 SCIENCE PARK NEW HAVEN, CT 06511 |
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/s/ David Cohen | 04/19/2019 | |
**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) | On November 28, 2018, and pursuant to a private offering of derivative securities of Precipio, Inc. (the "Company"), the Company entered into a securities purchase agreement (the "Agreement") with Mr. Cohen, pursuant to which the Company sold an 8% convertible promissory note (the "Note") and warrants (the "Warrants") to purchase shares of common stock, par value $0.01, of the Company ("Shares") to Mr. Cohen for an aggregate purchase price of $54,945.05. The Note is immediately exercisable at an exercise price of $0.29 per Share and expires on the earlier of November 28, 2019 and the closing of a certain contemplated offering of the Company's securities. The Warrants have an exercise price of $0.36 per Share and the number of Shares underlying the Warrants is equal to the amount of Shares which the Note is convertible into. |
Remarks: This Form 4 amendment is being filed to correct the original Form 4 filed on December 14, 2018 and the first amendment to the Form 4 filed on April 18, 2019. Table II of the original Form 4 incorrectly stated the price of the Note and the Warrants in column 8 and the expiration date of the Warrant in column 6. |