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