0001144204-14-008854.txt : 20140213
0001144204-14-008854.hdr.sgml : 20140213
20140213215204
ACCESSION NUMBER: 0001144204-14-008854
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110930
FILED AS OF DATE: 20140213
DATE AS OF CHANGE: 20140213
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Protea Biosciences Group, Inc.
CENTRAL INDEX KEY: 0001335103
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 955 HARTMAN RUN ROAD
CITY: MORGANTOWN
STATE: WV
ZIP: 26507
BUSINESS PHONE: 304 292-2226
MAIL ADDRESS:
STREET 1: 955 HARTMAN RUN ROAD
CITY: MORGANTOWN
STATE: WV
ZIP: 26507
FORMER COMPANY:
FORMER CONFORMED NAME: Protea Biosciences Inc.
DATE OF NAME CHANGE: 20110908
FORMER COMPANY:
FORMER CONFORMED NAME: SRKP 5 INC
DATE OF NAME CHANGE: 20050803
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HARRIS LEONARD P
CENTRAL INDEX KEY: 0001529511
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-51474
FILM NUMBER: 14609217
MAIL ADDRESS:
STREET 1: 955 HARTMAN RUN ROAD
CITY: MORGANTOWN
STATE: WV
ZIP: 26507
5
1
v368372_5.xml
OWNERSHIP DOCUMENT
X0306
5
2011-09-30
0
0
1
0001335103
Protea Biosciences Group, Inc.
NONE
0001529511
HARRIS LEONARD P
955 HARTMAN RUN ROAD
MORGANTOWN
WV
26507
1
0
0
0
Common Stock
2011-09-30
4
P
0
L
166667
250001
A
1773657
D
Common Stock
2013-07-23
4
P
0
L
387334
193667
A
2160991
D
Stock Option
0.80
2006-06-07
4
A
0
L
100000
80000
A
2006-06-07
2016-06-07
Common Stock
100000
678334
D
Stock Option
1.50
2010-09-17
4
A
0
L
100000
150000
A
2010-09-01
2017-09-01
Common Stock
100000
778334
D
Warrant
2.00
2010-10-18
4
P
0
L
100000
200000
A
2010-10-18
2015-10-18
Common Stock
100000
878334
D
Warrant
2.00
2011-09-30
4
P
0
L
83333
A
2011-09-30
2016-09-30
Common Stock
83333
961667
D
Stock Option
0.55
2013-03-22
4
A
0
L
218750
120313
A
2013-03-22
2023-03-22
Common Stock
218750
1180417
D
Convertible Note
0.50
2013-07-23
4
C
0
L
387334
193667
D
2013-07-23
2013-07-23
Common Stock
1047083
D
Warrant
1.10
2013-07-23
4
P
0
L
290501
319551
A
2018-07-23
2018-07-23
Common Stock
290501
1337584
D
On September 30, 2011, Leo Harris (the "Reporting Person") acquired 166,667 shares of common stock and warrants to purchase 83,333 shares of common stock for an aggregate purchase price of $25,000.
On June 30, 2013, pursuant to the terms and conditions of a Conversion Agreement, dated June 18, 2013 (the "Conversion Agreement") the Reporting Person converted the Notes (as defined below) into 387,334 shares of common stock, in connection with the conversion of convertible promissory notes (each a "Note" and collectively, the "Notes") issued to the Reporting Person in an aggregate amount equal to $193,667.14 including principal and interest.The Notes accrue simple interest at the rate of 10% per annum and were initially convertible into shares of common stock at a conversion rate of $2.00 per share at any time prior to payment in full of the principal and interest due under the Notes. On March 22, 2013, the board of directors of the Company agreed to reduce the conversion rate of the Notes to $0.50 per share. The Notes were converted into shares of common stock of the Company in accordance with the Conversion Agreement on June 30, 2013.
Pursuant to the Conversion Agreement, upon conversion of the Notes, the Company agreed to issue a warrant to purchase 75% of the number of shares into which the Notes are convertible.
Represents shares vested as of February 10, 2014.
Reflects the expiration of previously reported warrants to purchase 133,334 shares of common stock.
/s/ Leonard Harris
2014-02-13