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
  1. 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.
  2. 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.
  3. 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.
  4. On March 22, 2013, CMD purchased 4,545,455 shares of common stock for an aggregate purchase price of $50,000.