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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
WaferGen Bio-systems, Inc. [ WGBS.OB ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 12/23/2009 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) 12/28/2009 |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | 12/23/2009 | P | 33,333 | A | (1) | 48,333 | I(2) | By Jameel Shivji Irrevocable Trust U/A dtd 12/30/04 | ||
Common Stock | 12/23/2009 | P | 33,333 | A | (1) | 48,333 | I(2) | By Shivji Children's Trust fbo Zara Shivji U/A dtd 11/30/00 | ||
Common Stock | 12/23/2009 | P | 33,333 | A | (1) | 48,333 | I(2) | By Shivji Children's Trust fbo Suraya Shivji U/A dtd 11/30/00 | ||
Common Stock | 12/23/2009 | P | 16,667 | A | (1) | 895,218 | I(2)(3) | By Shivji Family Trust dtd June 12, 2000 | ||
Common Stock | 2,424,561 | D | ||||||||
Common Stock | 885,000 | I(3) | By Jamsz, a Alnoor and Miriam Shivji Family LLC |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 | ||||||||
Warrant | $2.5 | 12/23/2009 | P | 8,333 | 12/23/2009 | 12/23/2014 | Common Stock | 8,333 | (1) | 8,333 | I(2) | By Jameel Shivji Irrevocable Trust U/A dtd 12/30/04 | |||
Warrant | $2.5 | 12/23/2009 | P | 8,333 | 12/23/2009 | 12/23/2014 | Common Stock | 8,333 | (1) | 8,333 | I(2) | By Shivji Children's Trust fbo Zara Shivji U/A dtd 11/30/00 | |||
Warrant | $2.5 | 12/23/2009 | P | 8,333 | 12/23/2009 | 12/23/2014 | Common Stock | 8,333 | (1) | 8,333 | I(2) | By Shivji Children's Trust fbo Suraya Shivji U/A dtd 11/30/00 | |||
Warrant | $2.5 | 12/23/2009 | P | 4,167 | 12/23/2009 | 12/23/2014 | Common Stock | 4,167 | (1) | 4,167 | I(2) | By Shivji Family Trust dtd June 12, 2000 |
Explanation of Responses: |
1. 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. |
2. 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. |
3. 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 | 04/09/2010 | |
** 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). | ||
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. |