0001140361-11-058695.txt : 20111222 0001140361-11-058695.hdr.sgml : 20111222 20111222143215 ACCESSION NUMBER: 0001140361-11-058695 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111222 FILED AS OF DATE: 20111222 DATE AS OF CHANGE: 20111222 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: JACOB LEONARD S CENTRAL INDEX KEY: 0001049713 STATE OF INCORPORATION: NY FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32302 FILM NUMBER: 111277114 MAIL ADDRESS: STREET 1: C/O INKINE PHARMACEUTICAL COMPANY INC STREET 2: 425 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 4 1 doc1.xml FORM 4 X0304 4 2011-12-22 0 0001016169 ANTARES PHARMA, INC. AIS 0001049713 JACOB LEONARD S C/O ANTARES PHARMA, INC. 250 PHILLIPS BLVD, SUITE 290 EWING NJ 08618 1 0 0 0 Common Stock 2011-12-22 4 P 0 5000 1.79 A 72000 D Robert F. Apple as attorney-in-fact for Leonard S. Jacob 2011-12-22