SEC Form 4
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*
Rome Jonathan B

(Last) (First) (Middle)
178 WEST SADDLE RIVER ROAD

(Street)
SADDLE RIVER NJ 07458

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Boston Therapeutics, Inc. [ BTHE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
(2)
3. Date of Earliest Transaction (Month/Day/Year)
11/13/2012
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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 11/13/2012 P 1,250,000 A $0.5 1,258,000 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Warrants $1 11/13/2012 P 625,000 11/13/2012 11/13/2017 Common Stock 625,000 $0 625,000 D
Stock Options $0.5 09/30/2013 J(1) 2,500,000(1) (1) 11/01/2017 Common Stock 2,500,000 $0 2,500,000 D
Explanation of Responses:
1. As disclosed in Mr. Rome's Form 3, Mr. Rome was initially issued options to purchase 5,000,000 shares of common stock, vesting with respect to 416,667 shares on the date of grant (November 8, 2012) and quarterly in increments of 416,667 shares with the first installment vesting on March 31, 2013 and the final installment vesting on September 30, 2015. Mr. Rome's employment with the Issuer terminated without cause on September 30, 2013, Under the terms of the Option, the option will continue to vest quarterly through March 31, 2014, bringing the total number of vested shares at that time to 2,500,000 with the rest of the options being forfeited.
Remarks:
(2) At the time of the occurrence of the initial event triggering the filing of this Form 4., Mr. Rome was the Chief Operating Officer of the Issuer Mr. Rome's employment with the Issuer terminated without cause on September 13, 2013.
Jonathan B. Rome 01/17/2014
** 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).
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