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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 12/10/2007 |
3. Issuer Name and Ticker or Trading Symbol
REGEN BIOLOGICS INC [ RGBI ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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, $0.01 par value per share | 5,765,000 | I(1) | See Footnotes(1)(2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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 | ||||
Series D Convertible Preferred Stock | (3) | (4) | Common Stock | 47,619(3) | $42 | D(1)(2) | |
Warrants | 03/30/2007 | 03/30/2012 | Series D Convertible Preferred Stock | 14,286(5) | $63 | D(1)(2) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. The reported securities are held by Ivy Healthcare Capital II, L.P. Robert Pangia, principal of Ivy Healthcare Capital II, L.P., has shared voting and dispositive control of the reported securities. Mr. Pangia disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. |
2. Pursuant to Instruction 5(b)(v) on this Initial Statement of Beneficial Ownership on Form 3, Robert Pangia is the joint reporting person to this form. He is located at One Paragon Drive, Suite 125, Montvale, New Jersey 07645. |
3. Shares of Series D Convertible Preferred (the "Series D stock") convert on a mandatory basis (such event, the "Mandatory Conversion") to 100 shares of common stock of ReGen Biologics, Inc. ("ReGen"), par value $0.01 (the "Common Stock") for each share of Series D stock if (i) ReGen amends its certificate of incorporation to increase the number of shares of Common Stock sufficient to permit the issuance of Common Stock for all of the issued and outstanding shares of Series D stock and (ii) upon the effectiveness of a reverse stock split of the Common Stock in which there are sufficient shares to permit the issuance of Common Stock for all of the issued and outstanding Common Stock. |
4. Not applicable. |
5. Each warrant is convertible into one share of Series D stock or, after the Mandatory Conversion, is convertible into one hundred shares of Common Stock. |
/s/ Russell F. Warren Jr. on behalf of Ivy Healthcare Capital II, L.P. | 12/17/2007 | |
/s/ Robert W. Pangia | 12/17/2007 | |
** 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. |