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*
ZABRISKIE JOHN L

(Last) (First) (Middle)
207 JUNIPER COURT

(Street)
BASALT CO 81621

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/27/2009
3. Issuer Name and Ticker or Trading Symbol
ARCA biopharma, Inc. [ ABIO ]
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 29,180 I See Footnote(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
Option to Purchase Common Stock (2) 08/03/2015 Common Stock 3,887 $0.6 D
Option to Purchase Common Stock (3) 08/03/2016 Common Stock 5,694 $0.9 D
Option to Purchase Common Stock (4) 02/02/2017 Common Stock 4,174 $1.68 D
Option to Purchase Common Stock (5) 05/02/2018 Common Stock 4,174 $1.86 D
Option to Purchase Common Stock (6) 01/22/2019 Commpn Stock 1,786 $5.57 D
Explanation of Responses:
1. These shares are owned directly by Lansing Brown Investments, LLC. Dr. Zabriskie, one of ARCA's current directors, is the President of Lansing Brown Investments, LLC. Dr. Zabriskie has shared voting and dispositive powers over the shares held by Lansing Brown Investments, LLC. He disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest in them
2. The options vested as to 971 shares on May 4, 2006; and continue to vest by 242 shares at the end of each quarter thereafter.
3. The options vested as to 1,423 shares on August 3, 2007; and continue to vest by 355 shares at the end of each quarter thereafter.
4. The options vested as to 1,043 shares on February 2, 2008; and continue to vest by 260 shares at the end of each quarter thereafter.
5. The options vest as to 1,043 shares at the end of each quarter following grant date.
6. The options are immediately exercisable.
Remarks:
Patrick Wheeler, attorney in fact 02/05/2009
** 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.
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