SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
DAVIS JAMES L

(Last) (First) (Middle)
6446 FLYING CLOUD DR

(Street)
EDEN PRAIRIE MN 55344

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ProUroCare Medical Inc. [ PUMD ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
01/12/2009
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, $0.00001 par value(5) 74,964 I Held by "Davis & Associates 401K PSP"(2)
Common Stock, $0.00001 par value(5) 37,482 I Held by "Davis & Associates Inc."(2)
Common Stock, $0.00001 par value(4)(5) 01/12/2009 P 195,000(4) A (4) 1,001,638(5) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrants $5 (1) 02/28/2010 Common stock, $0.00001 par value 15,625 15,625 D
Warrants $5 (1) 03/21/2010 Common stock, $0.00001 par value 1,702 1,702 D
Warrants $5 (1) 12/27/2012 Common stock, $0.00001 par value 5,800 5,800 D
Warrants $5 (1) 12/27/2012 Common stock, $0.00001 par value 6,050 6,050 I Held by "Davis & Associates Inc. 401K PSP"(2)
Warrants $5 (1) 12/27/2012 Common stock, $0.00001 par value 700 700 I Held by "Davis & Associates Inc."(2)
Warrants $1.5 (1) 04/03/2013 Common stock, $0.00001 par value 25,000 25,000 D
Warrants $0.5 (1) 12/31/2012 Common stock, $0.00001 par value 30,000 30,000 D
Warrants $0.7 (1) 12/31/2012 Common stock, $0.00001 par value 30,000 30,000 D
Warrants $0.7 (1) 12/31/2012 Common stock, $0.00001 par value 10,000 10,000 I Held by "Davis & Associates Inc. 401K PSP"(2)
Warrants $0.7 (1) 12/31/2012 Common stock, $0.00001 par value 5,000 5,000 I Held by "Davis & Associates Inc."(2)
Warrants $1 (1) 12/31/2012 Common stock, $0.00001 par value 30,000 30,000 D
Convertible Promissory Note $0.7 (3) 03/16/2010 Common stock, $0.00001 par value $95,000 $95,000 D
Convertible Promissory Note $0.7 (1) 01/14/2009 Common stock, $0.00001 par value $150,000(4) $150,000 D
Warrants $1.5 (1) 09/25/2013 Common stock, $0.00001 par value 100,000 100,000 D
Convertible Promissory Note $0.7 (1) 12/31/2008 Common stock, $0.00001 par value $37,500 $37,500 D
Warrants $2 10/31/2009 10/31/2013 Common Stock, $0.00001 par value 16,667 16,667 D
Warrant(5) $1.3 02/06/2009 01/07/2014 Common stock, $0.00001 par value 314,846 314,846 D
Warrants(5) $1.3 02/06/2009 01/07/2014 Common stock, $0.00001 par value 224,890 224,890 D
Warrants(5) $1.3 02/06/2009 01/07/2014 Common stock, $0.00001 par value 74,964 74,964 I Held by "Davis & Associates Inc. 401K PSP"(2)
Warrants(5) $1.3 02/06/2009 01/07/2014 Common stock, $0.00001 par value 37,482 37,482 I Held by "Davis & Associates Inc."(2)
Warrants(4) $1.3 01/12/2009 P 195,000 02/06/2009 01/07/2014 Common Stock, $0.00001 par value 195,000 (4) 195,000 D
Explanation of Responses:
1. Currently exercisable
2. Reporting person is the Sole owner of Davis & Associates Inc. and has sole voting power.
3. The notes and accrued interest theron will automatically convert into common stock on February 6, 2009 at $0.70 per share.
4. The common stock and warrants were purchased together as a Unit at a price of $1.00 per unit. Each unit consists of one share of $0.00001 par value common stock and one redeemable five-year warrant to purchase one share of common stock at $1.30 per share. The warrants become exercisable and separately transferable from the shares of common stock on February 6, 2009.
5. Includes shares issued as a unit. Each unit consists of one share of $0.00001 par value common stock and one redeemable five-year warrant to purchase one share of common stock at $1.30 per share. The warrants become exercisable and separately transferable from the shares of common stock on February 6, 2009.
Richard B. Thon by power of attorney 01/13/2009
** 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 4 (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.