-----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, UIkpmu/ErzeVapeQmMG4t9ZFO9coDYxv1oxCouRC02JrYC8m4qzgUcuMA0gKoeEf UnYtswqiUD+kf52RRy6i2A== 0000893838-99-000340.txt : 19991213 0000893838-99-000340.hdr.sgml : 19991213 ACCESSION NUMBER: 0000893838-99-000340 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991210 FILED AS OF DATE: 19991210 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AUTOIMMUNE INC CENTRAL INDEX KEY: 0000879106 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 133489062 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-20948 FILM NUMBER: 99772541 BUSINESS ADDRESS: STREET 1: 128 SPRING ST CITY: LEXINGTON STATE: MA ZIP: 02173 BUSINESS PHONE: 6178600710 MAIL ADDRESS: STREET 1: 128 SPRING STREET CITY: LEXINGTON STATE: MA ZIP: 02173 COMPANY DATA: COMPANY CONFORMED NAME: TISCH THOMAS J CENTRAL INDEX KEY: 0001081916 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O B.L. BLOOM STREET 2: 667 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10021 BUSINESS PHONE: 212-545-2930 MAIL ADDRESS: STREET 1: 667 MADISON AVE CITY: NEW YORK STATE: NY ZIP: 10021 4 1 FORM 4 U.S. 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 / X / 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*: Thomas J. Tisch ("TJT") ------------------------------ (LAST) (FIRST) (MIDDLE) 667 Madison Avenue ------------------------------------------- (STREET) New York, New York 10021 ------------------------------------------ (CITY) (STATE) (ZIP) 2. Issuer Name and Ticker or Trading Symbol: AutoImmune Inc. (AIMM) 3. IRS Identification Number of Reporting Person, if an entity (Voluntary): 4. Statement for Month/Year: 11/99 5. If Amendment, Date of Original: (Month/Year) 6. Relationship of Reporting Person(s) to Issuer: (Check all applicable) _____ Director _____ Officer (give title below) __X__ 10% Owner _____ Other (specify below) 7. 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) Common Stock, $0.01 par value 2. Transaction Date: (Month/Day/Year) 11/26/99 3. Transaction Code: (Instr. 8) Code V S -2- 4. Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) Amount (A) or (D) Price 59,250 D $1.77 38,250 D $2.08 5. Amount of Securities Beneficially Owned at End of Month: (Instr. 3 and 4) 408,000 6. Ownership Form: Direct (D) or Indirect (I): (Instr. 4) I 7. Nature of Indirect Beneficial Ownership: (Instr. 4) (See Explanation of Responses) 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). Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security: -3- (Instr. 3) 2. Conversion or Exercise Price of Derivative Security: 3. Transaction Date: (Month/Day/Year) 4. Transaction Code: (Instr. 8) Code V 5. Number of Derivative Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) (A) (D) 6. Date Exercisable and Expiration Date: (Month/Day/Year) Date Exercisable Expiration Date 7. Title and Amount of Underlying Securities: -4- (Instr. 3 and 4) Title Amount or Number of Shares 8. Price of Derivative Security: (Instr. 5) 9. Number of Derivative Securities Beneficially Owned at End of Month: (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I): (Instr. 4) 11. Nature of Indirect Beneficial Ownership: (Instr. 4) Explanation of Responses: This Form 4 is being filed jointly by the following individuals and entities: 1. Thomas J. Tisch; 2. Daniel R. Tisch; 3. James S. Tisch; 4. Andrew H. Tisch (Thomas J. Tisch, Daniel R. Tisch, James S. Tisch and Andrew H. Tisch are referred to collectively as the "Messrs. Tisch"); 5. The Thomas J. Tisch 1999 Annuity Trust III ("Thomas Tisch GRAT III"); 6. The Daniel R. Tisch 1999 Annuity Trust III ("Daniel Tisch GRAT III"); -5- 7. The James S. Tisch 1999 Annuity Trust III ("James Tisch GRAT III"); and 8. The Andrew H. Tisch 1999 Annuity Trust III ("Andrew Tisch GRAT III"; and collectively with Thomas Tisch GRAT III, Daniel Tisch GRAT III and James Tisch GRAT III, the "GRATs"). Thomas J. Tisch, Daniel R. Tisch, James S. Tisch, Andrew H. Tisch, Thomas Tisch GRAT III, Daniel Tisch GRAT III, James Tisch GRAT III, and Andrew Tisch GRAT III are referred to herein individually as a "Reporting Person" and collectively as the "Reporting Persons." TJT is the designated filer. Each of the GRATs is a grantor retained annuity trust in which the grantor holds an annuity interest and in which the remainder interest was created in favor of a trust or trusts for the grantor's offspring. Thomas J. Tisch is the grantor and Andrew H. Tisch is the trustee of Thomas Tisch GRAT III. Daniel R. Tisch is the grantor and James S. Tisch is the trustee of Daniel Tisch GRAT III. James S. Tisch is the grantor and Thomas J. Tisch is the trustee of James Tisch GRAT III. Andrew H. Tisch is the grantor and Daniel R. Tisch is the trustee of Andrew Tisch GRAT III. Each of the Messrs. Tisch is herein reporting beneficial ownership of the shares of Common Stock owned by the GRAT for which he is the grantor. The filing of this statement is not an admission by any Reporting Person that such Reporting Person and any other person or persons constitute a "group" for purposes of Section 13(d)(3) of the Securities Exchange Act of 1934, as amended, or Rule 13d-5 thereunder or that any Reporting Person is the beneficial owner of any securities owned by any other person. [Signatures follow all attachments] -6- Attachment To Form 4 of Four Partners in Respect of AutoImmune Inc. (AIMM) Statement for: 11/99 Joint Filer Information 1. Name and Address of Reporting Person*: Daniel R. Tisch ------------------------------------------ (LAST) (FIRST) (MIDDLE) c/o Mentor Partners, L.P. 499 Park Avenue ------------------------------------------- (STREET) New York, New York 10022 ------------------------------------------ (CITY) (STATE) (ZIP) 2. Issuer Name and Ticker or Trading Symbol: AutoImmune Inc. (AIMM) 3. IRS Identification Number of Reporting Person, if an entity (Voluntary): 4. Statement for Month/Year: 11/99 5. If Amendment, Date of Original: (Month/Year) 6. Relationship of Reporting Person(s) to Issuer: (Check all applicable) _____ Director _____ Officer (give title below) -7- __X__ 10% Owner _____ Other (specify below) 7. 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) Common Stock, $0.01 par value 2. Transaction Date: (Month/Day/Year) 11/26/99 3. Transaction Code: (Instr. 8) Code V S 4. Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) Amount (A) or (D) Price 59,250 D $1.77 38,250 D $2.08 -8- 5. Amount of Securities Beneficially Owned at End of Month: (Instr. 3 and 4) 408,000 6. Ownership Form: Direct (D) or Indirect (I): (Instr. 4) I 7. Nature of Indirect Beneficial Ownership: (Instr. 4) (See Explanation to Form 4 of TJT.) 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) -9- 4. Transaction Code: (Instr. 8) Code V 5. Number of Derivative Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) (A) (D) 6. Date Exercisable and Expiration Date: (Month/Day/Year) Date Exercisable Expiration Date 7. Title and Amount of Underlying Securities: (Instr. 3 and 4) Title Amount or Number of Shares 8. Price of Derivative Security: (Instr. 5) 9. Number of Derivative Securities Beneficially Owned at End of Month: (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I): -10- (Instr. 4) 11. Nature of Indirect Beneficial Ownership: (Instr. 4) Explanation of Responses: [Signatures follow all attachments] -11- Attachment To Form 4 of Four Partners in Respect of AutoImmune Inc. (AIMM) Statement for: 11/99 Joint Filer Information 1. Name and Address of Reporting Person*: James S. Tisch ------------------------------------------ (LAST) (FIRST) (MIDDLE) 667 Madison Avenue ------------------------------------------- (STREET) New York, New York 10021 ------------------------------------------ (CITY) (STATE) (ZIP) 2. Issuer Name and Ticker or Trading Symbol: AutoImmune Inc. (AIMM) 3. IRS Identification Number of Reporting Person, if an entity (Voluntary): 4. Statement for Month/Year: 11/99 5. If Amendment, Date of Original: (Month/Year) 6. Relationship of Reporting Person(s) to Issuer: (Check all applicable) _____ Director _____ Officer (give title below) -12- __X__ 10% Owner _____ Other (specify below) 7. 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) Common Stock, $0.01 par value 2. Transaction Date: (Month/Day/Year) 11/26/99 3. Transaction Code: (Instr. 8) Code V S 4. Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) Amount (A) or (D) Price 59,250 D $1.77 38,250 D $2.08 -13- 5. Amount of Securities Beneficially Owned at End of Month: (Instr. 3 and 4) 408,000 6. Ownership Form: Direct (D) or Indirect (I): (Instr. 4) I 7. Nature of Indirect Beneficial Ownership: (Instr. 4) (See Explanation to Form 4 of TJT.) 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) -14- 4. Transaction Code: (Instr. 8) Code V 5. Number of Derivative Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) (A) (D) 6. Date Exercisable and Expiration Date: (Month/Day/Year) Date Exercisable Expiration Date 7. Title and Amount of Underlying Securities: (Instr. 3 and 4) Title Amount or Number of Shares 8. Price of Derivative Security: (Instr. 5) 9. Number of Derivative Securities Beneficially Owned at End of Month: (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I): -15- (Instr. 4) 11. Nature of Indirect Beneficial Ownership: (Instr. 4) Explanation of Responses: [Signatures follow all attachments] -16- Attachment To Form 4 of Four Partners in Respect of AutoImmune Inc. (AIMM) Statement for: 11/99 Joint Filer Information 1. Name and Address of Reporting Person*: Andrew H. Tisch ------------------------------------------ (LAST) (FIRST) (MIDDLE) 667 Madison Avenue ------------------------------------------- (STREET) New York, New York 10021 ------------------------------------------ (CITY) (STATE) (ZIP) 2. Issuer Name and Ticker or Trading Symbol: AutoImmune Inc. (AIMM) 3. IRS Identification Number of Reporting Person, if an entity (Voluntary): 4. Statement for Month/Year: 11/99 5. If Amendment, Date of Original: (Month/Year) 6. Relationship of Reporting Person(s) to Issuer: (Check all applicable) _____ Director _____ Officer (give title below) -17- __X__ 10% Owner _____ Other (specify below) 7. 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) Common Stock, $0.01 par value 2. Transaction Date: (Month/Day/Year) 11/26/99 3. Transaction Code: (Instr. 8) Code V S 4. Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) Amount (A) or (D) Price 59,250 D $1.77 38,250 D $2.08 -18- 5. Amount of Securities Beneficially Owned at End of Month: (Instr. 3 and 4) 408,000 6. Ownership Form: Direct (D) or Indirect (I): (Instr. 4) I 7. Nature of Indirect Beneficial Ownership: (Instr. 4) (See Explanation to Form 4 of TJT.) 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) -19- 4. Transaction Code: (Instr. 8) Code V 5. Number of Derivative Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) (A) (D) 6. Date Exercisable and Expiration Date: (Month/Day/Year) Date Exercisable Expiration Date 7. Title and Amount of Underlying Securities: (Instr. 3 and 4) Title Amount or Number of Shares 8. Price of Derivative Security: (Instr. 5) 9. Number of Derivative Securities Beneficially Owned at End of Month: (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I): -20- (Instr. 4) 11. Nature of Indirect Beneficial Ownership: (Instr. 4) Explanation of Responses: [Signatures follow all attachments] -21- Attachment To Form 4 of Four Partners in Respect of AutoImmune Inc. (AIMM) Statement for: 11/99 Joint Filer Information 1. Name and Address of Reporting Person*: Thomas J. Tisch 1999 Annuity Trust III ------------------------------------------ (LAST) (FIRST) (MIDDLE) c/o Barry Bloom 665 Madison Avenue ------------------------------------------- (STREET) New York, New York 10021 ------------------------------------------ (CITY) (STATE) (ZIP) 2. Issuer Name and Ticker or Trading Symbol: AutoImmune Inc. (AIMM) 3. IRS Identification Number of Reporting Person, if an entity (Voluntary): 4. Statement for Month/Year: 11/99 5. If Amendment, Date of Original: (Month/Year) 6. Relationship of Reporting Person(s) to Issuer: (Check all applicable) _____ Director -22- _____ Officer (give title below) __X__ 10% Owner _____ Other (specify below) 7. 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) Common Stock, $0.01 par value 2. Transaction Date: (Month/Day/Year) 11/26/99 3. Transaction Code: (Instr. 8) Code V S 4. Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) Amount (A) or (D) Price 59,250 D $1.77 38,250 D $2.08 -23- 5. Amount of Securities Beneficially Owned at End of Month: (Instr. 3 and 4) 408,000 6. Ownership Form: Direct (D) or Indirect (I): (Instr. 4) D 7. Nature of Indirect Beneficial Ownership: (Instr. 4) (See Explanation to Form 4 of TJT.) 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) -24- 4. Transaction Code: (Instr. 8) Code V 5. Number of Derivative Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) (A) (D) 6. Date Exercisable and Expiration Date: (Month/Day/Year) Date Exercisable Expiration Date 7. Title and Amount of Underlying Securities: (Instr. 3 and 4) Title Amount or Number of Shares 8. Price of Derivative Security: (Instr. 5) 9. Number of Derivative Securities Beneficially Owned at End of Month: (Instr. 4) -25- 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I): (Instr. 4) 11. Nature of Indirect Beneficial Ownership: (Instr. 4) Explanation of Responses: [Signatures follow all attachments] -26- Attachment To Form 4 of Four Partners in Respect of AutoImmune Inc. (AIMM) Statement for: 11/99 Joint Filer Information 1. Name and Address of Reporting Person*: Daniel R. Tisch 1999 Annuity Trust III ------------------------------------------ (LAST) (FIRST) (MIDDLE) c/o Barry Bloom 665 Madison Avenue ------------------------------------------- (STREET) New York, New York 10021 ------------------------------------------ (CITY) (STATE) (ZIP) 2. Issuer Name and Ticker or Trading Symbol: AutoImmune Inc. (AIMM) 3. IRS Identification Number of Reporting Person, if an entity (Voluntary): 4. Statement for Month/Year: 11/99 5. If Amendment, Date of Original: (Month/Year) 6. Relationship of Reporting Person(s) to Issuer: (Check all applicable) _____ Director -27- _____ Officer (give title below) __X__ 10% Owner _____ Other (specify below) 7. 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) Common Stock, $0.01 par value 2. Transaction Date: (Month/Day/Year) 11/26/99 3. Transaction Code: (Instr. 8) Code V S 4. Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) Amount (A) or (D) Price 59,250 D $1.77 38,250 D $2.08 -28- 5. Amount of Securities Beneficially Owned at End of Month: (Instr. 3 and 4) 408,000 6. Ownership Form: Direct (D) or Indirect (I): (Instr. 4) D 7. Nature of Indirect Beneficial Ownership: (Instr. 4) (See Explanation to Form 4 of TJT.) 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) -29- 4. Transaction Code: (Instr. 8) Code V 5. Number of Derivative Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) (A) (D) 6. Date Exercisable and Expiration Date: (Month/Day/Year) Date Exercisable Expiration Date 7. Title and Amount of Underlying Securities: (Instr. 3 and 4) Title Amount or Number of Shares 8. Price of Derivative Security: (Instr. 5) -30- 9. Number of Derivative Securities Beneficially Owned at End of Month: (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I): (Instr. 4) 11. Nature of Indirect Beneficial Ownership: (Instr. 4) Explanation of Responses: [Signatures follow all attachments] -31- Attachment To Form 4 of Four Partners in Respect of AutoImmune Inc. (AIMM) Statement for: 11/99 Joint Filer Information 1. Name and Address of Reporting Person*: James S. Tisch 1999 Annuity Trust III ------------------------------------------ (LAST) (FIRST) (MIDDLE) c/o Barry Bloom 665 Madison Avenue ------------------------------------------- (STREET) New York, New York 10021 ------------------------------------------ (CITY) (STATE) (ZIP) 2. Issuer Name and Ticker or Trading Symbol: AutoImmune Inc. (AIMM) 3. IRS Identification Number of Reporting Person, if an entity (Voluntary): 4. Statement for Month/Year: 11/99 5. If Amendment, Date of Original: (Month/Year) 6. Relationship of Reporting Person(s) to Issuer: (Check all applicable) _____ Director -32- _____ Officer (give title below) __X__ 10% Owner _____ Other (specify below) 7. 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) Common Stock, $0.01 par value 2. Transaction Date: (Month/Day/Year) 11/26/99 3. Transaction Code: (Instr. 8) Code V S 4. Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) Amount (A) or (D) Price 59,250 D $1.77 38,250 D $2.08 -33- 5. Amount of Securities Beneficially Owned at End of Month: (Instr. 3 and 4) 408,000 6. Ownership Form: Direct (D) or Indirect (I): (Instr. 4) D 7. Nature of Indirect Beneficial Ownership: (Instr. 4) (See Explanation to Form 4 of TJT.) 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) -34- 4. Transaction Code: (Instr. 8) Code V 5. Number of Derivative Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) (A) (D) 6. Date Exercisable and Expiration Date: (Month/Day/Year) Date Exercisable Expiration Date 7. Title and Amount of Underlying Securities: (Instr. 3 and 4) Title Amount or Number of Shares 8. Price of Derivative Security: (Instr. 5) 9. Number of Derivative Securities Beneficially Owned at End of Month: -35- (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I): (Instr. 4) 11. Nature of Indirect Beneficial Ownership: (Instr. 4) Explanation of Responses: [Signatures follow all attachments] -36- Attachment To Form 4 of Four Partners in Respect of AutoImmune Inc. (AIMM) Statement for: 11/99 Joint Filer Information 1. Name and Address of Reporting Person*: Andrew H. Tisch 1999 Annuity Trust III ------------------------------------------ (LAST) (FIRST) (MIDDLE) c/o Thomas J. Tisch 665 Madison Avenue ------------------------------------------- (STREET) New York, New York 10021 ------------------------------------------ (CITY) (STATE) (ZIP) 2. Issuer Name and Ticker or Trading Symbol: AutoImmune Inc. (AIMM) 3. IRS Identification Number of Reporting Person, if an entity (Voluntary): 4. Statement for Month/Year: 11/99 5. If Amendment, Date of Original: (Month/Year) 6. Relationship of Reporting Person(s) to Issuer: (Check all applicable) _____ Director _____ Officer (give title below) -37- __X__ 10% Owner _____ Other (specify below) 7. 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) Common Stock, $0.01 par value 2. Transaction Date: (Month/Day/Year) 11/26/99 3. Transaction Code: (Instr. 8) Code V S 4. Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) Amount (A) or (D) Price 59,250 D $1.77 38,250 D $2.08 -38- 5. Amount of Securities Beneficially Owned at End of Month: (Instr. 3 and 4) 408,000 6. Ownership Form: Direct (D) or Indirect (I): (Instr. 4) D 7. Nature of Indirect Beneficial Ownership: (Instr. 4) (See Explanation to Form 4 of TJT.) 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) 4. Transaction Code: (Instr. 8) -39- Code V 5. Number of Derivative Securities Acquired (A) or Disposed of (D): (Instr. 3, 4 and 5) (A) (D) 6. Date Exercisable and Expiration Date: (Month/Day/Year) Date Exercisable Expiration Date 7. Title and Amount of Underlying Securities: (Instr. 3 and 4) Title Amount or Number of Shares 8. Price of Derivative Security: (Instr. 5) 9. Number of Derivative Securities Beneficially Owned at End of Month: (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I): (Instr. 4) 11. Nature of Indirect Beneficial Ownership: -40- (Instr. 4) Explanation of Responses: [Signatures follow all attachments] -41- SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. /s/ Thomas J. Tisch ----------------------------------- Thomas J. Tisch /s/ Daniel R. Tisch ----------------------------------- Daniel R. Tisch /s/ James S. Tisch ----------------------------------- James S. Tisch /s/ Andrew H. Tisch ----------------------------------- Andrew H. Tisch THE THOMAS J. TISCH 1999 ANNUITY TRUST III By /s/ Andrew H. Tisch -------------------------------- Andrew H. Tisch, Trustee THE DANIEL R. TISCH 1999 ANNUITY TRUST III By /s/ James S. Tisch -------------------------------- James S. Tisch, Truste THE JAMES S. TISCH 1999 ANNUITY TRUST III By /s/ Thomas J. Tisch -------------------------------- Thomas J. Tisch, Trustee THE ANDREW H. TISCH 1999 ANNUITY TRUST III By /s/ Daniel R. Tisch -------------------------------- Daniel R. Tisch, Trustee Date: December 10, 1999 ** 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 the Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. -42- Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. -43- -----END PRIVACY-ENHANCED MESSAGE-----