FORM 3 (Print or Type Response) |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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* | 2. | Date of Event Requiring Statement (Month/Day/Year) |
4. | Issuer Name and Ticker or Trading Symbol | ||||||||||||
Henkel | Timothy | J. | 12/18/00 | Versicor Inc. (VERS) | |||||||||||||
(Last) | (First) | (Middle) | 3. | IRS Identification Number of Reporting Person, if an entity (voluntary) | 5. | Relationship of Reporting Person(s) to Issuer (Check all applicable) | 6. | If Amendment, Date of Original (Month/Day/Year) |
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Director | 10% Owner | ||||||||||||||||
34790 Ardentech Court (Street) |
X Officer (give title below) |
Other (specify below) |
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7. | Individual or Joint/Group Filing | ||||||||||||||||
Fremont, California 94555 |
Executive Vice President and Chief Medical Officer |
(Check applicable line) | |||||||||||||||
(City) | (State) | (Zip) | X Form filed by One Reporting Person Form filed by More than One Reporting Person |
Table I Non-Derivative Securities Beneficially Owned
1. | Title of Security (Instr. 4) |
2. | Amount of Securities Beneficially Owned (Instr. 4) |
3. | Ownership Form: Direct (D) or Indirect (I) (Instr. 5) |
4. | Nature of Indirect Beneficial Ownership (Instr. 5) |
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None. | None. | |||||||||
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | (Over) | |
* If the form is filed by more than one reporting person, see Instruction 5(b)(v). | Page 1 of 2 SEC 1473 (7-97) |
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FORM 3 (Continued) | Table II Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
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 | |||||||||||||||||
Employee Stock Option (right to buy) |
(1) | 12/18/10 | Common Stock, par value $.001 | 400,000 | $5.75 | D | ||||||||||||||
Explanation of Responses:
/s/ Timothy J. Henkel, M.D. | April 25, 2001 | |||
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | **Signature of Reporting Person |
Date |
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Page 2 of 2 SEC 1473 (7-97) |