SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
MICHEL KIRK WHEELER

(Last) (First) (Middle)
209 EAST TRYON STREET

(Street)
HILLSBOROUGH NC 27278

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Pharma-Bio Serv, Inc. [ PBSV ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
01/03/2007
4. If Amendment, Date of Original Filed (Month/Day/Year)
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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction 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 04/25/2006(1) C 340,400 A (1) 340,400 I By KEMA Advisors, Inc.(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 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: 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
Series A Convertible Preferred Stock (3) 04/25/2006(3) C 340,400 (3) (3) Common Stock 340,400 (3) 0 D
Stock Option(4) $0.75 01/03/2007 A 5,000 (5) 01/03/2012 Common Stock 5,000 $0 30,000 D
Explanation of Responses:
1. The shares of Series A convertible preferred stock automatically converted into 340,400 shares of common stock upon the filing of the certificate of amendment to the Company's Certificate of Incorporation which increased the number of authorized shares of common stock to 50,000,000 shares.
2. The reporting person is the sole shareholder of this entity.
3. The reporting person, through the entity, purchased 25,000 shares of Series A preferred convertible preferred stock, together with the warrants, at an aggregate purchase price of $250,000. Each share of Series A preferred convertible preferred stock was automatically converted into 13.616 shares of common stock, or 340,400 shares in total, upon the filing with the Secretary of State of Delaware of a restated certificate of Incorporation which increased the Company's authorized common stock. The restated certificate of incorporation was filed on April 25, 2006. No action was taken by the reporting person with respect to the automatic conversion.
4. The stock options were granted pursuant to the automatic grant provisions of the Company's 2005 long-term incentive plan.
5. The option is exercisable with respect to 50% of the shares on each of July 3, 2007 and 2008, respectively.
/s/ Kirk Michel 01/09/2007
** 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 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).
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