Filing Details

Accession Number:
0001140361-10-024996
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-06-10 13:00:00
Reporting Period:
2010-05-26
Filing Date:
2010-06-10
Accepted Time:
2010-06-10 11:54:30
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
885317 Ophthalmic Imaging Systems OISI Surgical & Medical Instruments & Apparatus (3841) 943035367
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1321178 Moshe Arkin 6 Hachoshlim St
Herzelia L3
Yes No Yes No
1467668 Ltd. (2009) Management Accelmed A.m. 6 Hachoshlim St
Herzelia L3
Yes No Yes No
1467669 Ltd. (1999) Arkin M. 6 Hachoshlim St
Herzelia L3
Yes No Yes No
1467670 U.m. Accelmed, Limited Partnership 6 Hachoshlim St
Herzelia L3 L3
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 Acquisiton 2010-05-26 3,581,089 $0.00 13,338,603 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 Common Stock Acquisiton 2010-05-26 1,193,696 $0.00 1,193,696 $1.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
1,193,696 2012-06-23 No 4 P Direct
Footnotes
  1. On May 26, 2010, Ophthalmic Imaging Systems, a California corporation (the "Company"), issued and sold to U.M. AccelMed, Limited Partnership, an Israeli limited partnership ("AccelMed"), 3,581,089 shares of the Company's common stock, no par value, and a warrant to purchase up to 1,193,696 shares of common stock, for an aggregate purchase price of $1,999,967.
  2. These securities are owned directly by AccelMed and indirectly by A.M. AccelMed Management (2009) Ltd., the general partner of AccelMed (the "General Partner"), M. Arkin (1999) Ltd ("M. Arkin (1999)"), the beneficial owner of 80% of the outstanding shares of the General Partner, and Moshe Arkin, the sole director and the beneficial owner of 99.9% of the outstanding shares of M. Arkin (1999).
  3. The filing of this Form 4 shall not be construed as an admission that the General Partner, M. Arkin (1999) or Mr. Arkin is or was for the purposes of Section 16(a) of the Securities Exchange Act of 1934, as amended, the beneficial owner of any of the shares of common stock of the Company owned by AccelMed. Pursuant to Rule 16a-1, each of the General Partner, M. Arkin (1999) and Mr. Arkin disclaim beneficial ownership of the shares of the Company reported herein that are beneficially owned by AccelMed, except to the extent of their pecuniary interest therein.
  4. This warrant may be exercised beginning on the earliest of the following: (i) the date that the Company consummates a merger with and into another corporation or the date the Company consummates a sale, transfer or other disposition of all or substantially all of its assets, (ii) the date that the average closing price per share of the Company's common stock on the OTC Bulletin Board (or wherever the Company's common stock is listed or quoted for trading on the date in question) for 10 consecutive trading days exceeds $2.00, (iii) the date the Company's Board of Directors offers a transaction pursuant to which the Company will raise at least $1.5 million in a capital raising transaction with persons who are shareholders of MediVision Medical Imaging Ltd. (a large shareholder of the Company), and (iv) March 23, 2012.