Filing Details
- Accession Number:
- 0001179110-13-013996
- Form Type:
- 4/A
- Zero Holdings:
- No
- Publication Time:
- 2013-09-06 20:31:58
- Reporting Period:
- 2013-09-04
- Filing Date:
- 2013-09-06
- Accepted Time:
- 2013-09-06 20:31:58
- Original Submission Date:
- 2013-09-06
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1222244 | Prourocare Medical Inc. | PUMD | Surgical & Medical Instruments & Apparatus (3841) | 201212923 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 901152 | L James Davis | 6446 Flying Cloud Dr Eden Prairie MN 55344 | Yes | 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, $0.00001 Par Value | Acquisiton | 2013-09-04 | 2,500 | $0.23 | 2,695,864 | No | 4 | P | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | P | Direct |
Reported Non-Derivative Holdings
| Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
|---|---|---|---|
| Common Stock, $0.00001 Par Value | 57,482 | Indirect | Held by "Davis & Associates Inc." |
| Common Stock, $0.00001 Par Value | 169,964 | Indirect | Held by "Davis & Associate 401K PSP" |
Reported Derivative Holdings
| Sec. Name | Sec. Type | Price | Date | Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|---|---|---|---|
| Common Stock, $0.00001 Par Value | Warrants | $2.00 | 2013-10-31 | 16,667 | 16,667 | Direct | |
| Common Stock, $0.00001 Par Value | Warrants | $1.50 | 2013-09-25 | 100,000 | 100,000 | Direct | |
| Common Stock, $0.00001 Par Value | Warrants | $1.30 | 2014-01-07 | 195,000 | 195,000 | Direct | |
| Common Stock, $0.00001 Par Value | Options | $2.41 | 2017-03-01 | 10,374 | 10,374 | Direct | |
| Common Stock, $0.00001 Par Value | Warrant | $1.30 | 2013-07-12 | 100,000 | 100,000 | Direct | |
| Common Stock, $0.00001 Par Value | Warrant | $1.30 | 2013-07-12 | 20,000 | 20,000 | Indirect | |
| Common Stock, $0.00001 Par Value | Warrant | $1.30 | 2013-07-12 | 20,000 | 20,000 | Indirect | |
| Common Stock, $0.0001 Par Value | Warrants | $1.30 | 2013-08-02 | 286,923 | 286,923 | Direct | |
| Common Stock, $0.00001 Par Value | Warrants | $1.30 | 2014-01-07 | 54,964 | 54,964 | Indirect | |
| Common Stock, $0.0001 Par Value | Warrants | $1.30 | 2013-08-02 | 20,000 | 20,000 | Indirect | |
| Common Stock, $0.00001 Par Value | Warrants | $1.30 | 2014-01-07 | 17,482 | 17,482 | Indirect | |
| Common Stock, $0.0001 Par Value | Warrants | $1.30 | 2013-08-02 | 20,000 | 20,000 | Indirect | |
| Common Stock, $0.00001 Par Value | Options | $1.72 | 2017-08-10 | 14,535 | 14,535 | Direct | |
| Common Stock, $0.00001 Par Value | Warrants | $1.30 | 2014-01-07 | 50,000 | 50,000 | Direct | |
| Common Stock, $0.00001 Par Value | Stock options | $0.87 | 2018-08-09 | 28,736 | 28,736 | Direct | |
| Common Stock, $0.00001 Par Value | Convertible Note | $1.30 | 2013-09-20 | 0 | 0 | Direct | |
| Common Stock, $0.00001 Par Value | Warrant | $1.30 | 2014-01-07 | 62,923 | 62,923 | Direct | |
| Common Stock, $0.00001 Par Value | Convertible Note | $1.30 | 2014-03-31 | 0 | 0 | Direct | |
| Common Stock, $0.00001 Par Value | Stock Options | $0.60 | 2019-08-09 | 25,000 | 25,000 | Direct | |
| Common Stock, $0.00001 Par Value | Warrant | $0.50 | 2018-04-27 | 340,998 | 56,833 | Direct | |
| Common Stock, $0.00001 Par Value | Warrant | $0.50 | 2013-04-27 | 291,670 | 632,668 | Direct | |
| Common Stock, $0.00001 Par Value | Warrant | $0.50 | 2018-04-27 | 295,313 | 295,313 | Direct |
| Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|
| 2013-10-31 | 16,667 | 16,667 | Direct |
| 2013-09-25 | 100,000 | 100,000 | Direct |
| 2014-01-07 | 195,000 | 195,000 | Direct |
| 2017-03-01 | 10,374 | 10,374 | Direct |
| 2013-07-12 | 100,000 | 100,000 | Direct |
| 2013-07-12 | 20,000 | 20,000 | Indirect |
| 2013-07-12 | 20,000 | 20,000 | Indirect |
| 2013-08-02 | 286,923 | 286,923 | Direct |
| 2014-01-07 | 54,964 | 54,964 | Indirect |
| 2013-08-02 | 20,000 | 20,000 | Indirect |
| 2014-01-07 | 17,482 | 17,482 | Indirect |
| 2013-08-02 | 20,000 | 20,000 | Indirect |
| 2017-08-10 | 14,535 | 14,535 | Direct |
| 2014-01-07 | 50,000 | 50,000 | Direct |
| 2018-08-09 | 28,736 | 28,736 | Direct |
| 2013-09-20 | 0 | 0 | Direct |
| 2014-01-07 | 62,923 | 62,923 | Direct |
| 2014-03-31 | 0 | 0 | Direct |
| 2019-08-09 | 25,000 | 25,000 | Direct |
| 2018-04-27 | 340,998 | 56,833 | Direct |
| 2013-04-27 | 291,670 | 632,668 | Direct |
| 2018-04-27 | 295,313 | 295,313 | Direct |
Footnotes
- Currently exercisable
- Reporting person is the Sole owner of Davis & Associates Inc. and has sole voting power.
- The Reporting Person holds $150,000, of 10% convertible secured subordinated promissory notes from the Issuer. The promissory note and any accrued interest thereon is convertible at any time at the option of the reporting person into common stock at $1.30 per share. The number of shares to be issued upon conversion will be fixed on the conversion date and reported on a Form 4 within 2 business days after conversion. The Issuer's Board of Directors specifically approved the reporting person's participation in the private placement as exempt from the requirements of Section 16b as provided by Rules 16b-3(d) and 16b-3(e).
- Annual option award pursuant to the Issuer's compensation policy for Directors upon their re-election to the Board of Directors. The seven-year options vest ratably over the 12 month period from Sepetember 2013 to August 2014.
- The Reporting Person holds $100,000, of 10% convertible secured subordinated promissory notes from the Issuer. The promissory note and any accrued interest thereon is convertible at any time at the option of the reporting person into common stock at $1.30 per share. The number of shares to be issued upon conversion will be fixed on the conversion date and reported on a Form 4 within 2 business days after conversion. The Issuer's Board of Directors specifically approved the reporting person's participation in the private placement as exempt from the requirements of Section 16b as provided by Rules 16b-3(d) and 16b-3(e).
- The issuer issued the warrants to the Reporting Person as consideration for a $450,000 loan guarantee for the period from April 1, 2013 to February 15, 2014. The warrants will vest as to 28,125 shares on the first of each month from April 2013 to January, 2014, and as to 14,063 share on February 1, 2014, subject to adjustment if the amount of the loan guaranteed should change. The issuer's Board of Directors specifically approved the reporting person's participation in the private placement as exempt from the requirements of Section 16b as provided by Rules 16b-3(d) and 16b-3(e).
- THIS FORM HAS BEEN AMENDED TO CORRECT THE DATE OF PURCHASE DUE TO A TYPOGRAPHICAL ERROR.
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