FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 05/20/2008 |
3. Issuer Name and Ticker or Trading Symbol
WaferGen Bio-systems, Inc. [ WGBS.OB ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 820,671 | D | |
Common Stock | 43,193 | D(1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (Right to Buy) | 01/03/2007 | 01/03/2017 | Common Stock | 134,979 | $0.463 | D | |
Stock Option (Right to Buy) | (2) | 05/31/2017 | Common Stock | 166,667 | $1.5 | D | |
Stock Option (Right to Buy) | (3) | 04/17/2018 | Common Stock | 25,000 | $1.95 | D |
Explanation of Responses: |
1. These securities are being held in escrow until May 31, 2009 in order to satisfy certain indemnification obligations that the reporting person may have under an Agreement and Plan of Merger, and Reorganization by and among WaferGen Bio-Systems, Inc. and WaferGen Acquisition Corp. The reporting person currently does not have voting or dispositive power over these shares. |
2. The option vests with respect to the first 25% of the shares subject to the option on May 31, 2008, and with respect to an additional 1/48th of the shares monthly thereafter. |
3. The option vests with respect to the first 25% of the shares subject to the option on April 17, 2009, and with respect to an additional 1/48th of the shares monthly thereafter. |
/s/ Amjad Huda | 05/21/2008 | |
** 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 5 (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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |