RESPONSE GENETICS INC·4

Jun 12, 4:37 PM ET

RESPONSE GENETICS INC 4

4 · RESPONSE GENETICS INC · Filed Jun 12, 2007

Insider Transaction Report

Form 4
Period: 2007-06-08
Serruya Clara
10% Owner
Transactions
  • Conversion

    Series A Junior Convertible Preferred Stock

    2007-06-08603,9070 total
    Exercise: $0.00From: 2007-06-08Exp: 2007-06-08Common Stock (603,907 underlying)
  • Conversion

    Convertible Notes

    2007-06-0835,4330 total
    Exercise: $7.00From: 2007-06-08Exp: 2007-06-08Common Stock (35,433 underlying)
  • Conversion

    Common Stock

    2007-06-08+603,907828,899 total
  • Other

    Common Stock

    2007-06-08+2,0993,939 total(indirect: See footnote 3)
  • Conversion

    Series B Convertible Preferred Stock

    2007-06-081,8400 total(indirect: See footnote 3)
    Exercise: $0.00From: 2007-06-08Exp: 2007-06-08Common Stock (1,840 underlying)
  • Conversion

    Common Stock

    2007-06-08$7.00/sh+35,433$248,031864,332 total
  • Conversion

    Common Stock

    2007-06-08+1,8401,840 total(indirect: See footnote 3)
Footnotes (6)
  • [F1]Represents the shares of Series A Junior Convertible Preferred Stock on an as-converted to common stock basis. Upon the closing of the Issuer's initial public offering on June 8, 2007, all of the outstanding shares of Series A Junior Convertible Preferred Stock automatically converted into shares of common stock on a 1-for-5.2 basis.
  • [F2]Consists of shares owned by the reporting filer's husband, Samuel Serruya. The reporting filer disclaims beneficial ownership of these shares, except to the extent of any beneficial ownership therein.
  • [F3]Consists of shares owned by the reporting filer's son, Michael Serruya. The reporting filer disclaims beneficial ownership of these shares, except to the extent of any beneficial ownership therein.
  • [F4]Represents the shares issuable upon conversion of the Convertible Notes on an as-converted to common stock basis. Upon the closing of the Issuer's initial public offering on June 8, 2007, the principal amount of promissory notes to certain stockholders (plus accrued but unpaid interest) converted into shares of common stock at a fixed conversion price equal to the initial public offering price.
  • [F5]Represents the shares of Series B Convertible Preferred Stock on an as-converted to common stock basis. Upon the closing of the Issuer's initial public offering, all shares of Series B Convertible Preferred Stock automatically converted into shares of common stock on a one-for-one basis.
  • [F6]The total accrued but unpaid dividends related to the Series B Convertible Preferred Stock at the date of conversion also converted into common stock based on the fair market value of the common stock on that date. In payment of dividends accrued on the Series B Convertible Preferred Stock, the reporting filer's son received 2099 shares of Common Stock.

Documents

1 file
  • 4
    form48761_061207163320-.xmlPrimary