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
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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*
KAI INTERNATIONAL LLC

(Last) (First) (Middle)
P.O. BOX 7031

(Street)
PORT VILA 2L

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
LIPID SCIENCES INC/ [ LIPD ]
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)
08/09/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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 08/09/2005 S 50,000 D $4.2649 4,705,013(1) D
Common Stock 08/10/2005 S 200,000 D $4.2355 4,505,013(1) D
Common Stock 11/22/2005 G 3,180,000 D $0 1,325,013(1) 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
1. Name and Address of Reporting Person*
KAI INTERNATIONAL LLC

(Last) (First) (Middle)
P.O. BOX 7031

(Street)
PORT VILA 2L

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CHAM BILL E

(Last) (First) (Middle)
P.O. BOX 7031

(Street)
PORT VILA 2L 0000

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Chase Tania R

(Last) (First) (Middle)
P.O. BOX 7031

(Street)
PORT VILA 2L 0000

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Bill E. Cham and Tania R. Chase are the sole members of KAI International, LLC, the entity who owns the reported securities. Bill E. Cham disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. Tania R. Chase is the sole managing member of KAI International, LLC. Effective as of November 22, 2005, KAI International, LLC and Tania R. Chase ceased to be reporting persons. Bill E. Cham resigned as managing member of KAI International, LLC on April 14, 2005 and as of such date he ceased to be a reporting person. Following the disposition of 3,180,000 shares on November 22, 2005, neither KAI International, LLC, Tania R. Chase nor Bill E. Cham are ten percent owners of common stock in Lipid Science, Inc. As such, this Form 4 is being filed to reflect that as of the date of this filing neither KAI International, LLC, Tania R. Chase nor Bill E. Cham are subject to Section 16 reporting requirements.
/s/ Tania R. Chase, Managing Member, KAI International, LLC 11/23/2005
/s/ Tania R. Chase 11/23/2005
/s/ Bill E. Cham 11/23/2005
** 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.
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