UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
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) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
AXONYX INC 500 SEVENTH AVENUE, 10TH FLOOR NEW YORK, NY 10018 |
X | |||
HAUSMAN MARVIN S MD 825 THIRD AVE 40TH FL NEW YORK, NY 10022 |
Chairman & CEO |
Marvin S. Hausman, M.D. | 01/20/2004 | |
**Signature of Reporting Person | Date |
* | 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) | Axonyx entered into agreements on January 15, 2004 with several stockholders of Oxis to acquire an aggregate of 13,912,571 shares of Oxis common stock in exchange for shares of Axonyx Common Stock, at an effective price of $.586 per share. Marvin S. Hausman, M.D., Chairman and CEO of Axonyx, is an affiliate of Axonyx and beneficially owns 1,161,532 shares of Oxis common stock, and has authorized Axonyx to file this Report on his behalf. |