Filing Details

Accession Number:
0001144204-11-016534
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-03-23 11:49:35
Reporting Period:
2011-03-22
Filing Date:
2011-03-23
Accepted Time:
2011-03-23 11:49:35
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1000278 Pacifichealth Laboratories Inc PHLI Medicinal Chemicals & Botanical Products (2833) 223367588
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1481084 G Frederick Duffner C/O Pacifichealth Laboratories, Inc.
100 Matawan Road, Suite 150
Matawan NJ US 07747
President And Ceo Yes Yes No 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 2011-03-22 100,000 $0.25 762,857 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 Warrant Acquisiton 2011-03-22 50,000 $0.31 50,000 $0.31
Common Stock Warrant Acquisiton 2011-03-22 10,000 $0.38 10,000 $0.38
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
50,000 2011-03-22 2014-03-22 No 4 P Direct
10,000 2011-03-22 2014-03-22 No 4 P Direct