- Amended Statement of Changes in Beneficial Ownership (4/A)
21 Oktober 2008 - 2:27AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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
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1. Name and Address of Reporting Person
*
Kim Suh Won
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2. Issuer Name
and
Ticker or Trading Symbol
OccuLogix, Inc.
[
OCCX
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
General Counsel and Secretary
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(Last)
(First)
(Middle)
417 - 40 HOMEWOOD AVENUE
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3. Date of Earliest Transaction
(MM/DD/YYYY)
10/6/2008
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(Street)
TORONTO, ONTARIO, CANADA, A6 M4Y 2K2
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
10/8/2008
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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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)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Options
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$2.63
(1)
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10/6/2008
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A
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44968
(1)
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10/6/2008
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10/6/2018
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Common Shares
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44968
(1)
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$2.63
(1)
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50168
(2)
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D
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Explanation of Responses:
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(
1)
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OccuLogix, Inc. (?OCCX?) effected a 1:25 reverse stock split on Oct. 7, 2008. The exercise price and the number of underlying shares reported on this Form 4/A have been reverse split-adjusted. On Oct. 6, 2008, Ms. Kim had been granted 1,124,196 options with a per share exercise price of $0.105, which options have been reverse split into 44,968 options with a per share exercise price of $2.63. A Form 4 was filed on behalf of Ms. Kim on October 8, 2008. That Form 4 incorrectly reported the per share exercise price of the options granted to Ms. Kim. This Form 4/A is an amendment of that Form 4.
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(
2)
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The number of OCCX options held by Ms. Kim following the transaction reported on this Form 4/A has been reverse split-adjusted.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Kim Suh Won
417 - 40 HOMEWOOD AVENUE
TORONTO, ONTARIO, CANADA, A6 M4Y 2K2
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General Counsel and Secretary
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Signatures
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/s/ Suh Kim
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10/20/2008
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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