-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, QSrmVHMhGd4kCqgdW8GbuXEbmYsQFCpFa6dIKd+zapDByq60PLlYQwUwqnSBxK15 5CtFufd7dW5nDPDFdmsCsw== 0001016169-08-000051.txt : 20080606 0001016169-08-000051.hdr.sgml : 20080606 20080606105330 ACCESSION NUMBER: 0001016169-08-000051 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080604 FILED AS OF DATE: 20080606 DATE AS OF CHANGE: 20080606 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ANTARES PHARMA, INC. CENTRAL INDEX KEY: 0001016169 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411350192 STATE OF INCORPORATION: DE FISCAL YEAR END: 1208 BUSINESS ADDRESS: STREET 1: 250 PHILLIPS BLVD STREET 2: SUITE 290 CITY: EWING STATE: NJ ZIP: 08618 BUSINESS PHONE: 609-359-3020 MAIL ADDRESS: STREET 1: 250 PHILLIPS BLVD STREET 2: SUITE 290 CITY: EWING STATE: NJ ZIP: 08618 FORMER COMPANY: FORMER CONFORMED NAME: ANTARES PHARMA INC DATE OF NAME CHANGE: 20060120 FORMER COMPANY: FORMER CONFORMED NAME: ANTARES PHARMA INC DATE OF NAME CHANGE: 20020520 FORMER COMPANY: FORMER CONFORMED NAME: ANTARES PHARMA INC /MN/ DATE OF NAME CHANGE: 20010604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GONELLA JACQUES CENTRAL INDEX KEY: 0001189296 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32302 FILM NUMBER: 08884643 MAIL ADDRESS: STREET 1: C/O ANTARES PHARMA INC STREET 2: 707 EAGLEVIEW BLVD SUITE 414 CITY: EXTON STATE: PA ZIP: 19341 4 1 jgonella060408_ex.xml X0202 4 2008-06-04 0 0001016169 ANTARES PHARMA, INC. AIS 0001189296 GONELLA JACQUES C/O ANTARES PHARMA, INC. 250 PHILLIPS BLVD, SUITE 290 EWING NJ 08618 1 0 1 0 Common Stock 2008-06-04 4 X 0 675000 .55 A 8883221 D Common Stock 2900000 I By Permatec Holding AG Common Stock Warrant (Right to Buy) .55 2008-06-04 4 X 0 262500 0 D 2003-06-10 2008-06-09 Common Stock Warrant 262500 2211476 D Common Stock Warrant (Right to Buy) .55 2008-06-04 4 X 0 225000 0 D 2003-06-20 2008-06-19 Common Stock Warrant 225000 1986476 D Common Stock Warrant (Right to Buy) .55 2008-06-04 4 X 0 187500 0 D 2003-06-30 2008-06-29 Common Stock Warrant 187500 1798976 D Dr. Jacques Gonella exercised warrants for the purchase of 675,000 shares of common stock for cash totaling $371,250. The warrants were issued in 2003 and were due to expire in June of 2008. Dr. Jacques Gonella owns controlling interest in Permatec Holding AG, which owns 2,900,000 shares of Common Stock. Robert F. Apple as attorney-in-fact for Jacques Gonella 2008-06-06 -----END PRIVACY-ENHANCED MESSAGE-----