Annual Statement of Changes in Beneficial Ownership (5)
28 July 2015 - 6:53AM
Edgar (US Regulatory)
FORM 5
[ ]
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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Form 3 Holdings Reported
[
X
]
Form 4 Transactions Reported
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0362
Estimated average burden
hours per response...
1.0
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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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1. Name and Address of Reporting Person
*
O BRATE CECIL
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2. Issuer Name
and
Ticker or Trading Symbol
POSITRON CORP [POSC.OB]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
3118 N. CUMMINGS ROAD, P.O. BOX 399
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3. Statement for Issuer's Fiscal Year Ended
(MM/DD/YYYY)
12/31/2014
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(Street)
GARDEN CITY, KS 67846
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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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Amount
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(A) or (D)
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Price
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Common Stock
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4/1/2014
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P4
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950
(1)
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A
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$2.80
(1)
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1023879
(1)
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D
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Common Stock
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4/1/2014
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P4
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3275
(1)
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A
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$2.60
(1)
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1027154
(1)
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D
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Common Stock
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4/4/2014
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P4
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203
(1)
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A
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$2.60
(1)
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1027357
(1)
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D
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Common Stock
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4/11/2014
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P4
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484
(1)
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A
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$2.60
(1)
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1027841
(1)
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D
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Common Stock
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4/14/2014
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P4
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25
(1)
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A
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$2.60
(1)
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1027866
(1)
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D
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Common Stock
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4/17/2014
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P4
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530
(1)
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A
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$2.60
(1)
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1028396
(1)
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D
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Common Stock
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4/17/2014
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P4
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1250
(1)
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A
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$2.80
(1)
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1029646
(1)
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D
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Common Stock
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4/17/2014
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P4
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35
(1)
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A
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$2.60
(1)
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1029681
(1)
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D
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Common Stock
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5/12/2014
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P4
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2500
(1)
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A
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$2.40
(1)
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1032181
(1)
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D
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Common Stock
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5/15/2014
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P4
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63
(1)
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A
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$2.60
(1)
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1032244
(1)
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D
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Common Stock
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5/15/2014
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P4
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650
(1)
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A
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$2.76
(1)
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1032894
(1)
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D
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Common Stock
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5/15/2014
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P4
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538
(1)
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A
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$2.80
(1)
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1033431
(1)
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D
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Common Stock
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5/16/2014
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C
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1041667
(1)
(2)
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A
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$1.44
(1)
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2075098
(1)
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D
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Common Stock
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5/19/2014
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P4
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25
(1)
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A
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$2.72
(1)
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2075123
(1)
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D
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Common Stock
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5/19/2014
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P4
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225
(1)
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A
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$2.76
(1)
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2075348
(1)
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D
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Common Stock
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5/19/2014
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P4
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1250
(1)
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A
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$2.60
(1)
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2076598
(1)
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D
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Common Stock
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5/22/2014
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P4
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1000
(1)
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A
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$2.40
(1)
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2077598
(1)
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D
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Common Stock
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5/29/2014
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P4
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1500
(1)
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A
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$2.40
(1)
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2079098
(1)
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D
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Common Stock
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5/30/2014
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P4
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1154
(1)
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A
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$2.72
(1)
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2080252
(1)
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D
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Common Stock
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5/30/2014
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P4
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375
(1)
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A
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$2.36
(1)
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2080627
(1)
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D
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Common Stock
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5/30/2014
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P4
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231
(1)
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A
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$2.40
(1)
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2080858
(1)
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D
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Common Stock
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5/30/2014
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P4
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159
(1)
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A
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$2.56
(1)
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2081017
(1)
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D
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Common Stock
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5/30/2014
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P4
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456
(1)
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A
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$2.60
(1)
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2081473
(1)
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D
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Common Stock
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5/30/2014
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P4
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2971
(1)
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A
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$2.00
(1)
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2084444
(1)
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D
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Common Stock
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6/13/2014
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P4
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300
(1)
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A
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$2.00
(1)
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2084744
(1)
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D
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Common Stock
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6/17/2014
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P4
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250
(1)
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A
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$2.00
(1)
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2084994
(1)
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D
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Common Stock
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6/23/2014
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P4
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1000
(1)
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A
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$2.00
(1)
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2085994
(1)
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D
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Common Stock
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6/24/2014
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P4
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135
(1)
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A
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$2.00
(1)
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2086129
(1)
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D
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Common Stock
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6/25/2014
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P4
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208
(1)
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A
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$1.96
(1)
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2086337
(1)
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D
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Common Stock
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6/25/2014
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P4
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261
(1)
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A
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$2.00
(1)
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2086598
(1)
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D
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Table II - Derivative Securities Acquired, Disposed of, or 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
(MM/DD/YYYY)
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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 at End of Issuer's Fiscal Year
(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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(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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Explanation of Responses:
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(
1)
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The number of shares and prices listed in Items 4 and 5 refer to the current number of shares and prices after a reverse split of the issuer's common stock, par value $0.0001 per share, on a 1 for 400 basis, which was made effective on April 8, 2015 (the "Reverse Stock Split"). This Form 5 is intended to correct errors to previously filed reports and to disclose all omitted open market transactions.
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(
2)
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These shares were originally reported on a Form 3 filed March 31, 2015. The reporting person acquired the shares through the conversion of a loan to shares on May 16, 2014. This transaction was previously reported as covering 416,666,667 shares but has been adjusted to reflect the Reverse Stock Split.
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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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O BRATE CECIL
3118 N. CUMMINGS ROAD, P.O. BOX 399
GARDEN CITY, KS 67846
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X
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Signatures
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/s/ Cecil O'Brate
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7/27/2015
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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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