0000914190-18-000139.txt : 20180412
0000914190-18-000139.hdr.sgml : 20180412
20180412161250
ACCESSION NUMBER: 0000914190-18-000139
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180410
FILED AS OF DATE: 20180412
DATE AS OF CHANGE: 20180412
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Evans Daron
CENTRAL INDEX KEY: 0001411726
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32288
FILM NUMBER: 18752230
MAIL ADDRESS:
STREET 1: C/O NEPHROS, INC.
STREET 2: 41 GRAND AVENUE
CITY: RIVER EDGE
STATE: NJ
ZIP: 07661
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NEPHROS INC
CENTRAL INDEX KEY: 0001196298
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 133971809
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 380 LACKAWANNA PLACE
CITY: SOUTH ORANGE
STATE: NJ
ZIP: 07079
BUSINESS PHONE: 201.343.5202
MAIL ADDRESS:
STREET 1: 380 LACKAWANNA PLACE
CITY: SOUTH ORANGE
STATE: NJ
ZIP: 07079
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2018-04-10
0001196298
NEPHROS INC
NEPH
0001411726
Evans Daron
C/O NEPHROS, INC.
380 LACKAWANNA PLACE
SOUTH ORANGE
NJ
07079
1
1
0
0
President and CEO
Common Stock
892958
D
Common Stock
2018-04-10
4
P
0
55000
.45
A
55000
I
By PoC Capital, LLC
Common Stock
2018-04-10
4
P
0
12000
.45
A
65666
I
By UTMA #1
Common Stock
2018-04-10
4
P
0
12000
.45
A
63166
I
By UTMA #2
Stock Option (Right to Buy)
.46
2024-03-26
Common Stock
75361
75361
D
Stock Option (Right to Buy)
.60
2025-04-15
Common Stock
982887
982887
D
Stock Option (Right to Buy)
.4999
2027-12-20
Common Stock
837125
837125
D
Common Stock Warrants (Right to Buy)
.30
2016-06-03
2021-06-03
Common Stock
40000
40000
I
By PoC Capital, LLC
Common Stock Warrants (Right to Buy)
.30
2016-06-03
2021-06-03
Common Stock
10000
10000
I
By UTMA #1
Common Stock Warrants (Right to Buy)
.30
2016-06-03
2021-06-03
Common Stock
10000
10000
I
By UTMA #2
Common Stock Warrants (Right to Buy)
.30
2017-03-17
2022-03-17
Common Stock
41666
41666
I
By UTMA #1
Common Stock Warrants (Right to Buy)
.30
2017-03-17
2022-03-17
Common Stock
41666
41666
I
By UTMA #2
Includes 180,000 shares of restricted stock that vest on 6/20/18.
The Reporting Person is a managing director of the LLC that owns the reported securities. The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
Fully exercisable.
On 4/15/2015, the Reporting Person was granted an option to purchase up to 2,184,193 shares of common stock of the Company. 35% of the shares subject to the option (relating to a total of 764,468 shares) vest quarterly in 16 equal amounts, commencing on 6/30/2015. 15% of the shares subject to the option will vest, if ever, upon the listing of the Company's common stock on NASDAQ, NYSE, or such other exchange as the Board may later determine. The remaining 50% of the shares subject to the option will vest, if ever, upon the Company's achievement of certain annual revenue milestones as specified in that certain Employment Agreement dated 4/15/2015 between the Reporting Person and the Company. The Company achieved the $3,000,000 annual revenue milestone in fiscal year 2017 and options to purchase 218,419 shares vested on 2/1/18.
On 12/20/17, the Reporting Person was granted an option to purchase 837,125 shares of common stock of the Company. 25% of the shares subject to the option (relating to a total of 209,282 shares) vest on 12/20/18 and the remaining 75% of the shares subject to the option (relating to a total of 627,843 shares) vest quarterly in 12 equal amounts, commencing on 3/20/19.
/s/ Daron Evans
2018-04-12