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*
MALTAIS JO-ANN B

(Last) (First) (Middle)
7068 KOLL CENTER PARKWAY
SUITE 401

(Street)
PLEASANTON CA 94566-3111

(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 10% Owner
X Officer (give title below) Other (specify below)
Vice President
3. Date of Earliest Transaction (Month/Day/Year)
12/22/2003
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 12/22/2003 M 10,000 A $1 0 D
Common Stock 12/22/2003 D 6,000 D $3.65 0 D
Common Stock 12/22/2003 D 2,000 D $3.63 0 D
Common Stock 12/22/2003 D 2,000 D $3.66 0 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
Stock Option (right to buy) $1 12/22/2003 D 10,000 (1) 03/14/2013 Common Stock $10,000 $1 185,902 D
Stock Option (right to buy) $1 03/14/2003 A 30,000 (2) 03/14/2013 Common Stock 30,000 $1 185,902 D
Stock Option (right to buy) $3.21 08/25/2001 A 155,902 (3) 08/25/2010 Common Stock 155,902 $3.21 155,902 D
Explanation of Responses:
1. The option disposed vested and was exercisable on March 14, 2003 and was part of a larger option grant of 40,000 which shall be fully vested on March 14, 2006 (see footnote 2).
2. The option will vest and be exercisable in three equal installments on each of March 14, 2004, March 14, 2005 and March 14, 2006.
3. The option with respect to 39/48th of the shares has already vested and is exercisable, and it vests with respect to the remainder in equal monthly installments of 1/48th of the shares for the next nine months, becoming fully vested and exercisable on August 25, 2004.
/s/ JoAnn B. Maltais 12/23/2003
** 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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