Regulatory Filings • Feb 15, 2023
Regulatory Filings
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Section 16. Form 4 or
Instruction 1(b).
Washington, D.C. 20549
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Form 5 obligations may continue. See STATEMENT OF CHANGES IN 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
| 1. Name and Address of Reporting Person Hsiao, Ph.D. Jane H |
2. Issuer Name and Ticker or Trading Symbol OPKO Health, Inc. [OPK] |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) ____ 10% Owner X |
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|---|---|---|---|---|---|---|---|---|
| (Last) | (First) (Middle) OPKO Health, Inc. 4400 Biscayne Blvd. |
3. Date of Earliest Transaction (Month/Day/Year) 02/10/2023 |
Director Officer (give title below)____ Other (specify below) X Vice Chairman & CTO |
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| (Street) Miami (City) |
FL (State) |
33137 (Zip) |
4. If Amendment, Date Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person ____ Form filed by More than One Reporting Person |
| 1.Title of Security (Instr. 3) |
2. Transaction Date (Month/Day/Year) |
2A. Deemed Execution Date, if any |
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) |
6. Ownership Form: |
7. Nature of Indirect Beneficial |
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|---|---|---|---|---|---|---|---|---|---|---|
| (Month/Day/Year) | Code | V | Amount | (A) or (D) |
Price | (Instr. 3 and 4) | Direct (D) or Indirect (I) (Instr. 4) |
Ownership (Instr. 4) |
| 1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of |
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 Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially |
10. Ownership Form of Derivative |
11. Nature of Indirect Beneficial Ownership |
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Derivative Security |
Code | V | (A) | (D) | Date Exercisable |
Expiration Date |
Title | Amount or Number of Shares |
Owned Following Reported Transaction(s) (Instr. 4) |
Security: Direct (D) or Indirect (I) (Instr. 4) |
(Instr. 4) | ||||
| 5% Convertible Promissory Notes due 2023 |
\$5 | 02/10/2023 | (1) D |
\$5,000,000 | (1) | 02/27/2023 | Common Stock |
\$5,000,000 | \$5,000,000 | \$ 0 |
D | ||||
| 5% Convertible Promissory Notes due 2025 |
\$1.66 | 02/10/2023 | (1) A |
\$5,000,000 | (1) | 01/31/2025 | Common Stock |
\$5,000,000 | \$5,000,000 | \$5,000,000 | D |
(1) The two reported transactions involved an amendment and restatement of an outstanding convertible promissory note (the "Original Note"), resulting in the deemed cancellation of the Original Note and the execution of an amended note (the "Amended Note"). The Original Note was entered into on February 27, 2018 and the Reporting Person had the option to convert all or any portion of the outstanding principal balance of the Original Note, plus unpaid interest, into shares of the Issuer's common stock, par value \$0.01 per share, at a conversion price of \$5.00 per share, at any time prior to the maturity date, which was February 27, 2023. The Amended Note extends the maturity to January 31, 2025, and resets the conversion price to the 10 day volume weighted average price immediately preceding the date of the Amended Note, plus a 25% conversion premium, or \$1.66.
Steven D. Rubin, Attorney-in-Fact 02/14/2023
**Signature of Reporting Person Date
* 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).
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