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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
VALENTIS INC [ VLTS ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 12/31/2003 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | 12/31/2003 | P | 121,951(2) | A | $2.05 | 1,021,083(2) | I(2) | Through ownership interests in limited liability companies(1) | ||
Common Stock | 530,248(3) | I(3) | Through ownership interests in limited liability companies(1) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 | ||||||||
Common Stock Purchase Warrants | $3 | 12/31/2003 | P | 48,780(2) | 12/31/2003 | 12/31/2008 | Common Stock | 48,780(2) | $0(4) | 48,780(2) | I(2) | Through ownership interest in limited liability companies(1) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. Please see attached Joint Filer Information. The Reporting Person is filing solely in his capacity as an indirect beneficial owner of securities held by one or more of the entities listed below. |
2. Delta Opportunity Fund, Ltd. ("Delta") is the direct beneficial owner. Diaz & Altschul Advisors, LLC ("D&A Advisors") is the investment advisor of Delta. D&A Advisors is 99% owned by Diaz & Altschul Capital Management, LLC ("D&A"), and Mr. Arthur G. Altschul, Jr. ("Mr. Altschul") owns 1% of D&A Advisors. The managing member of D&A Advisors is D&A. Mr. Reinaldo M. Diaz ("Mr. Diaz") and Mr. Altschul each own 50% of, and share management and control of, D&A. Mr. Altschul, Mr. Diaz, D&A and D&A Advisors each disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interests therein. |
3. Delta Opportunity Fund (Institutional) LLC ("Institutional ") is the direct beneficial owner. (There has been no change to the shares beneficially owned by Institutional from that previously reported.) Diaz & Altschul Management, LLC ("D&A Management") is the managing member of Institutional. Mr. Diaz and Mr. Altschul each own 50% of, and share management and control of, D&A Management. Mr. Altschul, Mr. Diaz, and D&A Management each disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interests therein. |
4. Delta acquired a Common Stock Purchase Warrant (the "Warrant") to acquire 48,780 shares of Common Stock in connection with the purchase of shares reported in Table I. The aggregate purchase price for such shares of Common Stock and the Warrant was $250,000.00. |
/s/ Arthur G. Altschul, Jr. | 01/05/2004 | |
/s/ Christopher S. Mooney as Chief Financial Officer of Diaz & Altschul Management, LLC, as managing member of Delta Opportunity Fund (Institutional), LLC | 01/05/2004 | |
/s/ Christopher S. Mooney as Chief Financial Officer of Diaz & Altschul Capital Management, LLC | 01/05/2004 | |
/s/ Christopher S. Mooney as Chief Financial Officer of Diaz & Altschul Advisors, LLC | 01/05/2004 | |
/s/ Christopher S. Mooney as Chief Financial Officer of Diaz & Altschul Advisors, LLC, as investment advisor to Delta Opportunity Fund, Ltd. | 01/05/2004 | |
/s/ Christopher S. Mooney as Chief Financial Officer of Diaz & Altschul Management, LLC | 01/05/2004 | |
** 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. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |