Filing Details

Accession Number:
0001209191-13-018430
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-03-26 16:21:46
Reporting Period:
2013-03-22
Filing Date:
2013-03-26
Accepted Time:
2013-03-26 16:21:46
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
876378 Safestitch Medical Inc. SFES.OB Blank Checks (6770) 112962080
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1188834 D Ph Jane Hsiao 4400 Biscayne Blvd
Miami FL 33137
Yes No Yes Yes
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 Acquisiton 2013-03-22 4,000,000 $0.25 11,437,681 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrants Acquisiton 2013-03-22 2,000,000 $0.00 2,000,000 $0.33
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
2,000,000 2013-03-22 2018-03-22 No 4 P Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 1,913,470 Indirect Hsu Gamma Investments, L.P.
Footnotes
  1. On March 22, 2013, the issuer sold and issued to Jane H. Hsiao, in a privately negotiated transaction pursuant to a stock purchase agreement, an aggregate of 4,000,000 shares of the issuer's common stock at a purchase price of $0.25 per share and warrants to purchase an additional 2,000,000 shares of the issuer's common stock with a warrant exercise price of $0.33 per share.
  2. Dr. Hsiao is the general partner of Hsu Gamma Investments, L.P. and disclaims benenficial ownership in the shares held by such entity except to the extent of her pecuniary interest therein.