Filing Details
- Accession Number:
- 0001213900-13-001362
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2013-03-27 15:52:32
- Reporting Period:
- 2011-02-09
- Filing Date:
- 2013-03-27
- Accepted Time:
- 2013-03-27 15:52:32
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1093285 | Scivanta Medical Corp | SCVM | Surgical & Medical Instruments & Apparatus (3841) | 222436721 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1573173 | J. Wayne Nixon | 12 Perrine Circle Perrineville NJ 08535 | No | No | Yes | No |
Reported Non-Derivative Transactions
Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|---|---|---|---|---|---|
Common Stock, Par Value $0.001 | Acquisiton | 2011-02-09 | 250,000 | $0.10 | 250,000 | No | 4 | P | Direct | |
Common Stock, Par Value $0.001 | Disposition | 2011-02-09 | 250,000 | $0.00 | 0 | No | 4 | G | Direct | |
Common Stock, Par Value $0.001 | Acquisiton | 2011-03-22 | 364,773 | $0.09 | 364,773 | No | 4 | J | Direct | |
Common Stock, Par Value $0.001 | Disposition | 2011-03-22 | 364,773 | $0.00 | 0 | No | 4 | G | Direct | |
Common Stock, Par Value $0.001 | Acquisiton | 2011-03-22 | 4,545,455 | $0.01 | 7,217,046 | No | 4 | P | Indirect | See Footnote |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | P | Direct | |
No | 4 | G | Direct | |
No | 4 | J | Direct | |
No | 4 | G | Direct | |
No | 4 | P | Indirect | See Footnote |
Reported Derivative Transactions
Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
---|---|---|---|---|---|---|---|
Common Stock, $.001 Par Value | Warrant (Right to Buy) | Acquisiton | 2011-02-09 | 250,000 | $0.00 | 250,000 | $0.10 |
Common Stock, $.001 Par Value | Warrant (Right to Buy) | Disposition | 2011-02-09 | 250,000 | $0.00 | 250,000 | $0.10 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
250,000 | 2011-02-09 | 2013-02-09 | No | 4 | P | Direct |
0 | 2011-02-09 | 2013-02-09 | No | 4 | G | Direct |
Reported Non-Derivative Holdings
Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
---|---|---|---|
Common Stock, Par Value $0.001 | 2,550,000 | Indirect | See Footnote |
Reported Derivative Holdings
Sec. Name | Sec. Type | Price | Date | Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
---|---|---|---|---|---|---|---|
Common Stock, $.001 Par Value | Warrant (Right to Buy) | $0.10 | 0 | 2,550,000 | Indirect |
Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
---|---|---|---|
0 | 2,550,000 | Indirect |
Footnotes
- Mr. Nixon is the sole owner of CMD Investment Group, LLC ("CMD"). On June 18, 2010, CMD purchased common stock units that in aggregate consisted of 2,500,000 shares of common stock and a warrant to purchase 2,500,000 shares of common stock for an aggregate purchase price of $250,000. The warrant had a two year term expiring on June 18, 2012, was exercisable at $0.10 per share and was fully vested at the date of issuance.
- On February 9, 2011, Mr. Nixon purchased common stock units that in aggregate consisted of 250,000 shares of common stock and a warrant to purchase 250,000 shares of common stock for an aggregate purchase price of $25,000. The warrant had a two year term expiring on February 11, 2013, was exercisable at $0.10 per share and was fully vested at the date of issuance. Contemporaneously with this purchase, Mr. Nixon assigned these shares and the shares underling the warrant to members of his family, which included the assignment of 50,000 shares of common stock and 50,000 shares underlying the warrant to his child that resides in his household. Mr. Nixon disclaims beneficial ownership of these shares.
- On March 22, 2013, Mr. Nixon was issued 364,773 shares of common stock for consulting services provide to the Company. Contemporaneously with this award, Mr. Nixon assigned these shares to members of his family, which included the assignment of 121,591 shares of common stock to his child that resides in his household. Mr. Nixon disclaims beneficial ownership of these shares.
- On March 22, 2013, CMD purchased 4,545,455 shares of common stock for an aggregate purchase price of $50,000.