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Share Name | Share Symbol | Market | Type |
---|---|---|---|
First Physicians Capital Group Inc (CE) | USOTC:FPCG | OTCMarkets | Common Stock |
Price Change | % Change | Share Price | Bid Price | Offer Price | High Price | Low Price | Open Price | Shares Traded | Last Trade | |
---|---|---|---|---|---|---|---|---|---|---|
0.00 | 0.00% | 1,025.00 | 0.00 | 00:00:00 |
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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OMB APPROVAL
OMB Number: 3235-0287 Estimated average burden hours per response... 0.5 |
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1. Name and Address of Reporting Person
*
CIABATTONI LIVING TRUST U/A/D AUGUST 17, 2000 |
2. Issuer Name
and
Ticker or Trading Symbol
First Physicians Capital Group, Inc. [ TISG.OB ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __ X __ 10% Owner _____ Officer (give title below) _____ Other (specify below) |
16 LAGUNITA DRIVE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
|
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LAGUNA BEACH, CA 92561 |
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person _ X _ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1.Title of Security
(Instr. 3) |
2. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 6/15/2010 | X | 60000 | A | $0.50 | 60000 | D | |||
Common Stock | 2/3/2014 | O | 3500000 | A | $0.01 | 3560000 | D |
Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
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1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Common Stock Warrant (Right to Buy) | $0.3125 | 1/1/2014 | P | 1814400 | 1/1/2014 | 1/1/2019 | Common Stock | 1814400 | $0.00 | 1814400 | D | ||||
Common Stock Warrant (Right to Buy) | $0.50 | 6/15/2010 | X | 60000 | 5/24/2007 | 5/24/2009 | Common Stock | 60000 | $0.00 | 0 | D | ||||
Series 6-A Convertible Preferred Stock | $0.3125 | 7/24/2012 | P | 100 | 7/24/2012 | (1) | Common Stock | 2240000 | $1000.00 | 700 | D | ||||
Series 6-A Convertible Preferred Stock | $0.3125 | 9/4/2012 | P | 75 | 9/4/2012 | (1) | Common Stock | 2480000 | $1000.00 | 775 | D | ||||
Series 6-A Convertible Preferred Stock | $0.3125 | 5/30/2013 | P | 155 | 5/30/2013 | (1) | Common Stock | 2976000 | $1000.00 | 930 | D | ||||
Convertible Promissory Note | $0.625 | 7/6/2011 | P | $100000.00 | 7/6/2011 | 6/30/2014 (3) | Common Stock | 160000 | $100000.00 | $1100000.00 | D | ||||
Convertible Promissory Note | $0.625 | 8/1/2012 | J (2) | $175000.00 | 2/11/2009 | 6/30/2014 (3) | Common Stock | 280000 | $925000.00 | $925000.00 | D | ||||
Convertible Promissory Note | $0.625 | 4/7/2014 | J (2) | $825000.00 | 2/11/2009 | 6/30/2014 (3) | Common Stock | 1495408 | $934360.00 | 0 | D | ||||
Common Stock Warrant (Right to Buy) | $0.50 | 2/6/2010 | P | 250000 | 2/6/2010 | 4/6/2012 | Common Stock | 250000 | $0.00 | 250000 | D | ||||
Common Stock Warrant (Right to Buy) | $0.75 | 2/6/2010 | P | 166667 | 2/6/2010 | 4/6/2012 | Common Stock | 166667 | $0.00 | 166667 | D |
Remarks:
Exhibit 99.1 - Joint Filer Information Exhibit 99.2 - Joint Filer Information |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
CIABATTONI LIVING TRUST U/A/D AUGUST 17, 2000
16 LAGUNITA DRIVE LAGUNA BEACH, CA 92561 |
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X |
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CIABATTONI ANTHONY J
16 LAGUNITA DRIVE LAGUNA BEACH, CA 92651 |
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X |
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CIABATTONI JANE G.
16 LAGUNITA DRIVE LAGUNA BEACH, CA 92651 |
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X |
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Signatures
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/s/ Anthony J. Ciabattoni, Manager | 6/20/2014 | |
** Signature of Reporting Person |
Date
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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 4(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 First Physicians Capital (CE) Chart |
1 Month First Physicians Capital (CE) Chart |
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