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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series C Preferred Stock | $ 0.6 | 04/04/2006 | J(1) | 5,417 | (5) | (6) | Common Stock | 54,170 | $ 60 | 0 | I | By Durham Properties LLC (3) | |||
Series C Preferred Stock Warrants | $ 0.6 | 04/04/2006 | J(4) | 13,542 | (5) | (6) | Common Stock | 135,420 | $ 60 | 0 | I | By Durham Properties LLC (3) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DURHAM JAMES D C/O CRDENTIA CORP. 14114 DALLAS PARKWAY, SUITE 600 DALLAS, TX 75254 |
X | Chairman of Board and CEO |
/s/ James D. Durham | 04/05/2006 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The shares of Common Stock were acquired pursuant to an exempt stock exchange of 5,417 shares of Series C Preferred Stock for 270,000 shares of Common Stock. |
(2) | Except as otherwise indicated, all share numbers in this Form 4 have been adjusted to reflect the 10 for 1 reverse stock split effected by the Issuer at the close of business on April 4, 2006. |
(3) | The Reporting Person is the managing member of Durham Properties, LLC. The Reporting Person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest in the named entity, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or any other purpose. |
(4) | The shares of Common Stock were acquired pursuant to an exempt stock exchange of 13,542 Warrants exercisable into an equal number of shares of Series C Preferred Stock for 115,115 shares of Common Stock. |
(5) | Immed. |
(6) | Not applicable. |