1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Common Stock Option (right to buy)
|
Â
(1)
|
Â
(2)
|
Common Stock
|
200,000
(3)
|
$
0.28
|
D
|
Â
|
Common Stock Option (right to buy)
|
Â
(4)
|
Â
(5)
|
Common Stock
|
250,000
(3)
|
$
0.122
|
D
|
Â
|
* |
If the form is filed by more than one reporting person, see Instruction 5(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). |
(1) |
On July 14, 2008, the Board of Directors of PacificHealth Laboratories, Inc. (the "Company") approved the issuance of options to purchase 200,000 shares of the Company's common stock (the "Options") at an exercise price of $0.28 per share to vest as follows: 50,000 shares on July 14, 2009, 50,000 shares on July 14, 2010, 50,000 shares on July14, 2011, and 50,000 shares on July 14, 2012. |
(2) |
To the extent not previously exercised, these Options will terminate upon the earlier of (i) July 14, 2013 or (ii) 90 days following the termination of Mr. Duffner's employment with the Company. |
(3) |
Mr. Duffner became an officer of the Company on January 27, 2010, which triggered the requirement to report the grant of the Options on this Form 3. |
(4) |
On January 25, 2010, the Company approved the issuance of Options to purchase 250,000 shares of the Company's common stock at an exercise price of $0.122 per share to vest as follows: 83,333 shares on January 25, 2011, 83,333 shares on January 25,2012, and 83,334 shares on January 25,2013. |
(5) |
To the extent not previously exercised, the Options will terminate upon the earlier of (i) January 25,2015 or (ii) 90 days following the termination of Mr. Duffner's employment with the Company. |