-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, DxgCGFrHVU4yyDdY4Q8JEb/3Y4dCV33/+oDma5IcK270CL1X4DI6aXbNdgs3wezY UELuGi1HqcsYOS4FOnKd0A== 0001209191-04-010915.txt : 20040217 0001209191-04-010915.hdr.sgml : 20040216 20040217204838 ACCESSION NUMBER: 0001209191-04-010915 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040217 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BIOTIME INC CENTRAL INDEX KEY: 0000876343 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 943127919 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 935 PARDEE ST CITY: BERKELEY STATE: CA ZIP: 94710 BUSINESS PHONE: 5108459535 MAIL ADDRESS: STREET 1: 935 PARDEE STREET CITY: BERKELEY STATE: CA ZIP: 94710 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SEGALL JUDITH CENTRAL INDEX KEY: 0001054745 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12830 FILM NUMBER: 04611599 BUSINESS ADDRESS: STREET 1: C/O BIOTIME INC STREET 2: 935 PARDEE ST CITY: BERKELEY STATE: CA ZIP: 94710 BUSINESS PHONE: 5108459535X3019 MAIL ADDRESS: STREET 1: 935 PARDEE ST CITY: BERKELEY STATE: CA ZIP: 94710 5 1 doc5.xml FORM 5 SUBMISSION X0201 5 2003-12-31 0 0 0 0000876343 BIOTIME INC BTX 0001054745 SEGALL JUDITH 935 PARDEE STREET BERKELEY CA 94710 1 1 0 0 VP;Member, Office of President Common Shares, no par value 573503.0000 D Option to Purchase Common Shares 4.0000 2002-10-28 2007-10-27 Common Shares 68332.0000 68332.0000 D Option to Purchase Common Shares 4.0000 2003-01-01 2007-10-27 Common Shares 68334.0000 68334.0000 D Option to Purchase Common Shares 4.0000 2004-01-04 2007-10-27 Common Shares 26667.0000 26667.0000 D Warrants to Purchase Common Shares 2.0000 2004-01-21 2007-01-14 Common Shares 21587.0000 21587.0000 D Includes 163,334 shares that may be acquired upon the exercise of certain stock options, and 21,587 shares that may be acquired upon the exercise of certain warrants. /s/ Judith Segall 2004-02-17 -----END PRIVACY-ENHANCED MESSAGE-----