Leonard Samuels
1011 Centennial Road
Penn Valley, PA 19072
610-664-5949
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1
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NAMES OF REPORTING PERSONS
Leonard Samuels
Leah Kaplan-Samuels
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a)
(b)
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (See Instructions)
PF
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e)
¨
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
Leonard Samuels -USA Leah Kaplan- Samuels- USA
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NUMBER OF
SHARES
BENEFICIALLY OWNED BY
EACH
REPORTING
PERSON
WITH
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7 SOLE VOTING POWER
9,848,469 ( See Item 5)
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8 SHARED VOTING POWER
3,629,696 (see Item 5)
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9 SOLE DISPOSITIVE POWER
9,848,469 ( see Item 5)
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10 SHARED DISPOSITIVE POWER
3,629,696 (see Item 5)
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
Leonard Samuels – 13,478,165 Leah Kaplan-Samuels 3,629,696
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12
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
¨
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
Leonard Samuels -32.9% (see Item 5) Leah Kaplan Samuels -9.81% ( See Item 5)
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14
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TYPE OF REPORTING PERSON
Leonard Samuels – IN Leah Kaplan Samuels- IN
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·
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Leonard Edward Samuels, a United States citizen, who currently resides at 1011 Centennial Road, Penn Valley, PA 19072 and is employed as an Assistant Professor of Emergency Medicine by Drexel University College of Medicine Department of Emergency Medicine, 245 North Broad Street, Philadelphia, PA.
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·
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Leah Kaplan-Samuels, Dr. Samuel’s wife, is a United States citizen, who currently resides at 1011 Centennial Road, Penn Valley, PA 19072 and is a homemaker.
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· 2,724,696 shares of Common Stock held by the Reporting Persons as JTWROS;
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· 5,860,969 shares of Common Stock held by RBC and beneficially owned by Dr. Samuels
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· 750,000 shares of Common Stock underlying the 2007/2008 Warrants exercisable at $0.25 per share of Common Stock; 80,000 shares of Common Stock underlying the September 2009 Warrant exercisable at $.75 per share of Common stock and 75,000 shares of Common Stock underlying the 2009 Warrants exercisable at $0.75 per share of Common Stock.
· 2,750,000shares of Common Stock underlying the 2007 RBC Warrants exercisable at $0.25 per share of Common Stock; 275,000 shares of Common Stock underlying the 2009 RBC Warrant exercisable at $0.75 per share of Common Stock; and 962,500 shares of Common Stock underlying the 2011 RBC Warrants exercisable at $0.45 per share of Common Stock
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o
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2,724,696 shares of Common Stock held by the Reporting Persons as JTWROS;
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o
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750,000 shares of Common Stock underlying the 2007/2008 Warrants exercisable at $0.25 per share of Common Stock; 80,000 shares of Common Stock underlying the September 2009 Warrant exercisable at $.75 per share of Common stock and 75,000 shares of Common Stock underlying the 2009 Warrants exercisable at $0.75 per share of Common Stock.
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/s/ LEONARD SAMUELS
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Name: Leonard Samuels
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/s/ LEAH KAPLAN-SAMUELS
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Name: Leah Kaplan- Samuels
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Number
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Description
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1.
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Joint Filing Agreement dated as of December 27, 2010 (filed previously).
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2.
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Form of Subscription Agreement, dated December 11, 2007, December 20, 2007, December 30, 2007 and January 21, 2008, by and among the Issuer and Reporting Persons as JTWROS and Form of Subscription Agreement, dated December 20, 2007 and December 31, 2007, by and between Issuer and RBC Capital Markets- Custodian for Leonard Samuels IRA (incorporated by reference to Exhibit 10.9 of the Issuer’s Form S-1 filed with the Commission on August 11, 2008).
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3.
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Form of Secured Convertible Promissory Note, dated December 11, 2007, December 20, 2007, December 30, 2007 and January 21, 2008, issued by Issuer to Reporting Persons as JTWROS and Form of Secured Convertible Promissory Note dated December 20, 2007 and December 31, 2007, issued by Issuer to RBC Capital Markets- Custodian for Leonard Samuels IRA (incorporated by reference to Exhibit 4.7 of the Issuer’s Form S-1 filed with the Commission on August 11, 2008).
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4.
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Form of Stock Purchase Warrant, dated December 11, 2007, December 20, 2007, December 30, 2007 and January 21, 2008, issued by Issuer to Reporting Persons as JTWROS and Form of Stock Purchase Warrant, dated December 20, 2007 and December 31, 2007, issued by Issuer to RBC Capital Markets- Custodian for Leonard Samuels IRA (incorporated by reference to Exhibit 4.5 of the Issuer’s Form S-1 filed with the Commission on August 11, 2008).
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5.
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Form of Stock Purchase Warrant, dated September 17, 2009, issued by Issuer to Reporting Persons as JTWROS (incorporated by reference to Exhibit 4.2 of the Issuer’s Form 8-K filed with the Commission on March 13, 2009).
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6.
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Form of Stock Purchase Warrant, dated October 9, 2009, issued by Issuer to Reporting Persons as JTWROS and Form of Stock Purchase Warrant, dated October 9, 2009, issued by Issuer to RBC Capital Markets- Custodian for Leonard Samuels IRA (incorporated by reference to Exhibit 4.1 of the Issuer’s Form 8-K filed with the Commission on March 13, 2009).
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7.
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Form of Unsecured Promissory Note, dated February 19, 2010, issued by Issuer to Reporting Persons as JTWROS and Form of Unsecured Promissory Note dated February 19, 2010, issued by Issuer to RBC Capital Markets- Custodian for Leonard Samuels IRA (incorporated by reference to Exhibit 4.2 and 4.1; respectively, of the Issuer’s Form S-1 filed with the Commission on February 23, 2010).
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8. | First Amendment to Unsecured Promissory Note from Samuels, dated June 28, 2010 and First Amendment to Unsecured Promissory Note from RBC Capital Markets- Custodian for Leonard Samuels IRA, dated June 28, 2010 (Incorporated by reference to Exhibits 4.17 and 4.18, respectively, to Issuer’s Quarterly Report on Form 10Q as filed August 16, 2010). | |
9. | Second Amendment to Unsecured Promissory Note from Samuels, dated September 30, 2010 and Second Amendment to Unsecured Promissory Note from RBC Capital Markets- Custodian for Leonard Samuels IRA, dated September 30, 2010 (Incorporated by reference to Exhibits 4.21 and 4.20; respectively, to Issuer’s Quarterly Report on Form 10Q as filed November 15, 2010) . | |
10. | Third Amendment to Unsecured Promissory Note from RBC Capital Markets- Custodian for Leonard Samuels IRA, dated December 31, 2010 (Incorporated by reference to Exhibit 4.23 to Issuer’s Registration Statement on Form S-1 (File No. 333-172259), as filed February 14, 2011). | |
11. | Fourth Amendment to Unsecured Promissory Note from RBC Capital Markets – Custodian for Leonard Samuels IRA, dated February 28, 2011(Incorporated by reference to Exhibit 4.7 to Issuer’s Annual Form 10K filed as filed on March 31, 2011). | |
12. | Fifth Amendment to Unsecured Promissory Note from RBC Capital Markets – Custodian for Leonard Samuels IRA, dated April 29, 2011 (“Incorporated by reference to Exhibit 4.36 to Issuer’s Quarterly Report on Form 10Q as filed May 16, 2011). | |
13. | Stock Purchase Warrant, dated May 12, 2011 by and between Issuer and RBC Capital Markets Custodian for Leonard Samuels IRA. (“Incorporated by reference to Exhibit 4.39 to Issuer’s Quarterly Report on Form 10Q as filed May 16, 2011). | |
14. | Amendment to 2007 Warrant by and between the Issuer and RBC Capital Markets- Custodian for Leonard Samuels IRA, dated May 12 , 2011 (“Incorporated by reference to Exhibit 4.37 to Issuer’s Quarterly Report on Form 10Q as filed May 16, 2011). | |
15. | Amendment to 2009 Warrant by and between the Issuer and RBC Capital Markets- Custodian for Leonard Samuels IRA, dated May 12 , 2011 (“Incorporated by reference to Exhibit 4.38 to Issuer’s Quarterly Report on Form 10Q as filed May 16, 2011). | |
16. | Stock and Warrant Purchase Agreement by and between the Issuer and RBC Capital Markets dated May 12, 2011 (“Incorporated by reference to Exhibit 4.40 to Issuer’s Quarterly Report on Form 10Q as filed May 16, 2011). |