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*
Cognate Bioservices, Inc.

(Last) (First) (Middle)
4800 EAST SHELBY DRIVE, SUITE 108

(Street)
MEMPHIS TN 38118

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/28/2011
3. Issuer Name and Ticker or Trading Symbol
NORTHWEST BIOTHERAPEUTICS INC [ NWBO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 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, par value $0.001 per share ("Common Stock")(1) 46,000,000 D
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
Warrants(2) 10/16/2012 10/16/2017 Common Stock 23,000,000 $0.2 D
Explanation of Responses:
1. On October 28, 2011, Northwest Biotherapeutics, Inc. (the "Company") entered into a conversion agreement with Cognate Bioservices, Inc. ("Cognate") pursuant to which an aggregate of $9.2 million of unpaid invoiced amounts and payables were converted into 46.0 million shares of the Company's common stock. Such shares were subject to the Company's 1-for-16 reverse share split in September 2012.
2. On October 28, 2011, the Company became obligated to issue warrants to Cognate for the purchase of 23.0 million shares of the Company's common stock. Such warrants were issued on October 16, 2012, after the Company's 1-for-16 reverse share split in September 2012. Therefore, at the time of issuance, such warrants were exercisable for 1,437,500 shares of the Company's common stock, at an exercise price of $3.20.
Cognate Bioservices Inc., by /s/ Linda F. Powers, Director 12/19/2014
** 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 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).
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