-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RsDmMP5+s7iMMQijxaQKd6n9U/orH9So9K/s9hCISDZbq+okUTO9ZfVPjZtYHgKj GAlVgzLnFUuCBQz7Dgk/PA== 0001144204-10-019240.txt : 20100409 0001144204-10-019240.hdr.sgml : 20100409 20100409060653 ACCESSION NUMBER: 0001144204-10-019240 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091223 FILED AS OF DATE: 20100409 DATE AS OF CHANGE: 20100409 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shivji Alnoor CENTRAL INDEX KEY: 0001435645 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-53252 FILM NUMBER: 10740859 MAIL ADDRESS: STREET 1: C/O WAFERGEN BIO-SYSTEMS, INC., STREET 2: 46531 FREMONT BLVD. CITY: FREMONT STATE: CA ZIP: 94538 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WaferGen Bio-systems, Inc. CENTRAL INDEX KEY: 0001368993 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 203699764 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: BAYSIDE TECHNOLOGY CENTER STREET 2: 46571 FREMONT BLVD. CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: (510) 651-4450 MAIL ADDRESS: STREET 1: BAYSIDE TECHNOLOGY CENTER STREET 2: 46571 FREMONT BLVD. CITY: FREMONT STATE: CA ZIP: 94538 FORMER COMPANY: FORMER CONFORMED NAME: La Burbuja Cafe, Inc. DATE OF NAME CHANGE: 20060714 4/A 1 v175343_ex.xml X0303 4/A 2009-12-23 2009-12-28 0 0001368993 WaferGen Bio-systems, Inc. WGBS.OB 0001435645 Shivji Alnoor C/O WAFERGEN BIO-SYSTEMS, INC., 46531 FREMONT BLVD. FREMONT CA 94538 1 1 1 0 Chief Executive Officer Common Stock 2009-12-23 4 P 0 33333 A 48333 I By Jameel Shivji Irrevocable Trust U/A dtd 12/30/04 Common Stock 2009-12-23 4 P 0 33333 A 48333 I By Shivji Children's Trust fbo Zara Shivji U/A dtd 11/30/00 Common Stock 2009-12-23 4 P 0 33333 A 48333 I By Shivji Children's Trust fbo Suraya Shivji U/A dtd 11/30/00 Common Stock 2009-12-23 4 P 0 16667 A 895218 I By Shivji Family Trust dtd June 12, 2000 Common Stock 2424561 D Common Stock 885000 I By Jamsz, a Alnoor and Miriam Shivji Family LLC Warrant 2.50 2009-12-23 4 P 0 8333 A 2009-12-23 2014-12-23 Common Stock 8333 8333 I By Jameel Shivji Irrevocable Trust U/A dtd 12/30/04 Warrant 2.50 2009-12-23 4 P 0 8333 A 2009-12-23 2014-12-23 Common Stock 8333 8333 I By Shivji Children's Trust fbo Zara Shivji U/A dtd 11/30/00 Warrant 2.50 2009-12-23 4 P 0 8333 A 2009-12-23 2014-12-23 Common Stock 8333 8333 I By Shivji Children's Trust fbo Suraya Shivji U/A dtd 11/30/00 Warrant 2.50 2009-12-23 4 P 0 4167 A 2009-12-23 2014-12-23 Common Stock 4167 4167 I By Shivji Family Trust dtd June 12, 2000 The reported securities were included in Units purchased for $1.50 per Unit, with each Unit consisting of one share of common stock and one warrant to purchase 25% of one share of common stock. The original Form 4 aggregated the transaction on behalf of four separate trusts into a single line, despite the different natures of indirect beneficial ownership. An aggregate of 885,000 shares of common stock were transferred from Shivji Family Trust dtd June 12, 2000 directly or indirectly to Jamsz, a Alnoor and Miriam Shivji Family LLC, through a transaction or series of transactions that altered the reporting person's form of indirect beneficial ownership but did not involve any change in the reporting person's pecuniary interest in such shares. /s/ Hector Brush, Attorney-in-Fact 2010-04-09 -----END PRIVACY-ENHANCED MESSAGE-----