X0204 3 2012-01-23 0 0001213037 TrovaGene Inc. TROV 0001234366 ADAMS THOMAS PHD C/O TROVAGENE, INC. 11055 FLINTKOTE AVENUE SAN DIEGO CA 92121 1 0 0 0 Common Stock 2074117 D Stock Options 0.50 2019-04-16 Common Stock 1822500 D Warrants 0.50 2010-03-24 2018-12-31 Common Stock 200000 D Warrants 0.50 2010-08-26 2018-12-31 Common Stock 7117 D Warrants 0.50 2011-01-06 2018-12-31 Common Stock 67000 D 340,833 options vest on each of 8/5/2012 and 2013 and 340,834 options vest on 8/5/2014. /s/ Thomas H. Adams 2012-01-23