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Share Name | Share Symbol | Market | Type |
---|---|---|---|
Highlands Acquisition Corp | AMEX:HIA.U | AMEX | Ordinary Share |
Price Change | % Change | Share Price | High Price | Low Price | Open Price | Shares Traded | Last Trade | |
---|---|---|---|---|---|---|---|---|
0.00 | 0.00% | 0.00 | - |
FORM 3
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Washington, D.C. 20549 |
OMB APPROVAL
OMB Number: 3235-0104 Expires: January 31, 2008 Estimated average burden hours per response... 0.5 |
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1. Name and Address of Reporting Person * WARREN RUSSELL F MD |
2. Date of Event Requiring Statement (MM/DD/YYYY)
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3. Issuer Name and Ticker or Trading Symbol Highlands Acquisition Corp [HIA.U] |
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
___
X
___ 10% Owner
___ X ___ Officer (give title below) _____ Other (specify below) Chairman of the Board / |
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Beneficially Owned |
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1.Title of Security
(Instr. 4) |
2. Amount of Securities Beneficially Owned
(Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) |
4. Nature of Indirect Beneficial Ownership
(Instr. 5) |
Common Stock (1) | 695548 (2) | I | By Fieldpoint Capital, LLC (3) |
Common Stock (4) | 680242 (2) | I | By Ivy Healthcare Capital II, L.P. (5) |
Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
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1. Title of Derivate Security
(Instr. 4) |
2. Date Exercisable and Expiration Date
(MM/DD/YYYY) |
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5) |
6. Nature of Indirect Beneficial Ownership
(Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Warrants (1) | (6) | 10/2/2012 | Common Stock | 695548 (2) | $7.50 | I | By Fieldpoint Capital, LLC (3) |
Warrants (4) | (6) | 10/2/2012 | Common Stock | 680242 (2) | $7.50 | I | By Ivy Healthcare Capital II, L.P. (5) |
Warrants (7) | (8) | 10/2/2012 | Common Stock | 464773 | $7.50 | I | By Fieldpoint Capital, LLC (3) |
Warrants (9) | (8) | 10/2/2012 | Common Stock | 454545 | $7.50 | I | By Ivy Healthcare Capital II, L.P. (5) |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
WARREN RUSSELL F MD
ONE PARAGON DRIVE SUITE 125 MONTVALE, NJ 07645 |
X | X | Chairman of the Board |
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Signatures
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/s/ Russell F. Warren, M.D. | 10/3/2007 | |
** Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1 Year Highlands Acquisition Corp Chart |
1 Month Highlands Acquisition Corp Chart |
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