5 1 rothbartform5april02.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 5 [ ] Check this box if no longer 0MB APPROVAL subject to Section 16. Form 4 or 0MB Number: 3235-0287 Form 5 obligations may continue. Expires: December 31, 2001 [ ] Form 3 Holdings Reported Estimated average burden [X] Form 4 Transactions Reported hours per response 1.0 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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(f) of the Investment Company Act of 1940 -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Rothbart Peter -------------------------------------------------------------------------------- (Last) (First) (Middle) 274 St. Clements Avenue Toronto, Ontario M4R 1H5 -------------------------------------------------------------------------------- (Street) (City) (State) (Zip) -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol L.A.M. Pharmaceutical Corp. "LAMP" -------------------------------------------------------------------------------- 3. I.R.S. Identification Number of Reporting Person (Voluntary) ________________ -------------------------------------------------------------------------------- 4. Statement for Month/Year 12/31/02 -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) Treasurer -------------------------------------------------------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) __X__ Director __X__ 10% Owner __X__ Officer (give ____ Other (specify title below) below) Treasurer -------------------------------------------------------------------------------- 7. Individual or Joint/Group Filing (check applicable below) X Form filed by One Reporting Person _ Form filed by More than One Reporting Person -------------------------------------------------------------------------------- Table I - Non.Derivative Securities Acquired, Disposed of, or Beneficially Owned --------------------------------------------------------------------------------
1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature of action action or Disposed of ([)) Securities ship Indirect Date Code Beneficially Form: Beneficial Owned at Direct Owner- (Month/ End of (D) or ship Day/Year Issuer's Indirect(I) Fiscal Year (A) or Code V Amount (D) Price -------------------------------------------------------------------------------------------------------------------------- SEE ATTACHED -------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------
4,000,000 common shares were returned to treasury by John Hromyk for no value. FORM 5 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) --------------------------------------------------------------------------------
7. Title and 9. 10. 11. Amount Number Owner- Nature 2. of of deriv- ship of Conver- 5. under- ative Sec- Form of Indirect sion Number of lying 8. urities Deri- Bene- or Derivative 6. sec Price Bene- vative ficial Exer- 4. Securities Date uriries of deriv- ficially Security Owner- cise 3. Trans- Acquired (A) Exercisable and (Instr. ative Sec- Owned Direct ship Price Trans- action or Disposed Expiration Date 3 and 4) urity at End of (D) or (Instr.4) 1. of action Code of (D) (Month/Day/Year) ------ (Instr.5) Month Indirect Title of Deriv- Date (Instr. (Instr. 3, ------------------- (Instr.4) (I)(Instr.4) Derivative ative (Month/ 8) 4 and 5) Date Expira- Amount or Security Secur- Day/ -------- ----------- Exer- tion Number of ity Year) Code V (A) (D) cisable Date Title Shares ----------------------------------------------------------------------------------------------------------------------------------- Option $0.75 7/15/01 A 300,000 7/15/01 6/5/06 Common 300,000 -- Stock ----------------------------------------------------------------------------------------------------------------------------------- Option $0.75 9/15/01 D 300,000 Common 300,000 -- Stock ----------------------------------------------------------------------------------------------------------------------------------- Option $0.58 9/15/01 A 300,000 9/15/01 6/5/06 Common Stock 300,000 -- 300,000 D ----------------------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: /s/ Peter Rothbart April 25, 2002 ----------------------------- ---------------- **Signature of Reporting Person Date ** 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. Potential persons who are to respond to the collection of infomation contained in this form are not required to respond unless the form displays a currently valid OMB Number. L.A.M. PHARMACEUTICAL CORP. PETER ROTHBART ATTACHEMENT TO FORM 5 TABLE I Amount of Securities Beneficially Ownership Owned at Form Nature of Securities Acquired or Disposed of End of Direct (D) Indirect ---------------------------------- Title of Transaction Transaction Price Issuer's or Indirect Beneficial Securities Date Code Amount (A) or (D) (U.S. $) Fiscal Year (I) Ownership -------------------------------------------------------------------------------------------------------------------------------- Common Stock 1-Dec-00 S5 40,000 D .002 " 31-Jan-01 S4 1,000 D 5.92 " 31-Jan-01 S4 1,000 D 5.91 " 31-Jan-01 S4 1,000 D 5.91 " 19-Feb-01 S4 60,000 D .002 " 9-Mar-01 S4 10,000 D .005 " 2-Apr-01 S4 25,000 D .003 " 23-Apr-01 S4 20,000 D .004 " 9-Mar-01 S4 1,000 D 4.53 " 9-Mar-01 S4 4,000 D 4.56 " 15-Mar-01 S4 500 D 4.72 " 15-Mar-01 S4 500 D 4.72 " 15-Mar-01 S4 2,000 D 4.84 " 16-Mar-01 S4 2,000 D 4.65