SEC Form 3
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*
Barnhart John

(Last) (First) (Middle)
4105 E. MADISON STREET, SUITE 320

(Street)
SEATTLE WA 98112

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/07/2012
3. Issuer Name and Ticker or Trading Symbol
ATOSSA GENETICS INC [ ATOS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. 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 Beneficially Owned
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 39,765 D
Common Stock 8,837 I By John Martin Barnhart(1)
Common Stock 8,837 I By Marie-Francoise Barnhart(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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) (2) 09/01/2021 Common Stock 80,000 $1.25 D
Stock Option (Right to Buy) (3) 09/01/2021 Common Stock 40,000 $1.25 D
Stock Option (Right to Buy) (4) 04/30/2022 Common Stock 7,903 $6 D
Explanation of Responses:
1. The Reporting Person disclaims beneficial ownership of these shares, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
2. On September 1, 2011, the Board of Directors approved a grant to the Reporting Person of stock options to purchase an aggregate of 80,000 shares of Common Stock, fully vested and exercisable as of the date of grant.
3. The first 10,000 options vested on December 1, 2011 and the remaining options vested in equal quarterly amounts on each of March 1, 2012, June 1, 2012 and September 1, 2012.
4. On April 30, 2012, the Board of Directors approved a grant to the Reporting Person of stock options to purchase an aggregate of 7,903 shares of Common Stock, fully vested and exercisable as of the date of grant.
Remarks:
/s/ John Barnhart 11/07/2012
** 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.